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ADDITION.AL CHARGES t��7^ SAI'dITARY SEW.�'..R �and�0?'� WnTER�. ASS:�SS`M�N2'S <br />Iaegartnent oP II1gineering <br />OFm�rs Tlame; :���=:,-i:. ; � .:isc:;� .:cw <br />.Aadress 1.�; :�?.;:�;;a�er <br />Date S�pt. l�>, i��`� <br />Add. for legal =���r =�::-3- �c�: St. <br />, <br />Code Nod r`�=z•� oi 7y-c�20-C�r4-Ol <br />Legal I�sc�-�iption: <br />T:;e Sou�ii 150 i ee � c� 1�1ocr� l, �� �cer � the ;•les � 1Q4 � eet <br />i;hereof, �i Sct1��r�,r�' � Su�id.ivisio:� oi P�:.rt a: Tnt l� oi <br />.`'''iriortar�'s Subdivisior. oi t�e I;orti7 1;a.st �;uaxter ai <br />Section 13� TOSd'-1S�]l�'i 2�� P,�l�;e 2� <br />.�mount assessed �or Sewer I $ •=0=1'= <br />Additional charges $ 352•50 <br />150.0' �. trk.:t t. 4�2. �5 =�.�,i2• 50 <br />Inwice I�da o <br />Receipt ido. <br />Payment received by <br />i <br />Calculation by i <br />'Ibta1 amount due � <br />Amount $ <br />�ount $ <br />Amount assessed for W�ater $ <br />_____.,�. <br />Additional charges � <br />Dated <br />Da.ted <br />Returii original t � �ngineering <br />