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TIE CARD
City of Lakeville i • � , Positioned to Thrive ; � _ ; �; � � , Sewer and �later Tie Card Address ��`,Q� � l'�'�(,.}�/�/V1 Ll, ��l'f/UL� Contractor �� �- ( � � I � � Permit Number � Date Street Drain-tile � I �� Size of Water Service Comments � JZTE 1T�(� V�12 ZU� �L �11�T1/V�"�S � I�lust h�ve thi� car�c! or� s�fe fmr �he inspector at the f�m� �f the inspe�t�on. � � � 20195 Holyoke Avenue,Lakeville,MN 55044 952-985-4400•952-985-4499 fax www.lakevillemn.gov ,�