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248462 site plan.pdf
I� @Omcast CSG Located: CSG Drop Huryg: Dlte b L (:T Node: CNW-fi Aury Dr6p Form Customer Nanle: Phone#: 9 Address.: (_ A', fu _ -__ - City: i S _ zip: -j)?e5Z0 Crass street: z) vt ❑Service Effecting ❑Glut of Service ❑Pehding Install FITem�Tech#: �04 Tech Cell: �1; .• y Priority Level: 1-Commercial ❑2-New Cult /Svc ©rap Impaired /Can't Ternpj3 Svc 17ro unpaired /Can Temp Type of i3ur STH Footage ROW Footage Permlt RegU red; Y_ NO tack Yard fasernent: Y N Sidewalk Bore f� r Planting Strip: YQ 1J(] 5prEnkler System: NQ Driveway Bore. Z/o' Sidewalk lO N❑ Septic Field: C N_ 1-andsca e flore Road Edge: � Y N � Drain Pipe: AN �NU Road Fiore _Curb: Y�N Private Water: Y N Soft Surface Total: �j ` -__ Hard Surface iota[: G,`rr' te PrivaWiring: Y What Kind? _?W r _ _.. Total: Total Bur : i Custoffier Home For Bury; YF_J NCa(I Customer Fjrst:1'ENEJ Best if for Customer. . CorPmenis l� 64� rPr= �r /4_u �-L• CS�iS l+2cLCron r-r.e� dk,� � �' _ tY9�� ,�,r cvea�r 5W �G�. - Wla.`j� �,,t.:y_ ..-. _E`. e,;k, CUSTOMER CONTACTED AND REVIEWED ROLAING OF NEW DROP YQ NOT HOME, LEFI"ll©OR TAG V�ative Beingthe ownerof the above property, I herebygive niyperrsiission to Comcast, ortheirduly authorized repre to bury a service line on my property. Property Uwler's SiSnature: TV-w ExstlhgCarson-i� `'�'r { Pole- - PhStreetlight-Q _ i� Piaca Carson - F ^_ ona-❑ Power-� Catch Basin- _ Gas-Q Prorttle i Y Flre Hydrant- Water/Irrigation -A Maif Aoxj Sn6ur LenWP ]TOMS ES'r(pTY Une to. [:ur_n, s:tlewa114 ACT 'fY ITEMS Fein ]A L. j�t,0 !,eilsnNE Area's: EST TY AC'rQTy t�tr�'I'LS weyanas. r.reBKs ES'I'QIY nar u�r[n. ACT 'I'Y iF��iI ra�nl. i.ow ro�rlr, c,� MAT1.S ESTQ't'Y ACrQTY 1_1 � + 1 � e 3/r .' E1L._. " car:ton z _ _ �