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TIE CARD
� City of Lakeville �� � " Positioned to Thrive < � � + • ,� \ . �; Sewer and t�later Tie Carc! A�adress _ ���� [� (� �. S� �jl Contractor ��/V 1'�'yI Permit Number � � �'�j��'� Date (� U D r Street Drain-tile � �� Size of Water Service Comments � QTE l�f�(�- �V�12 �� � �I�"TI/VG'�S �us� have fhi� ca�c� �n s`te f�r �6�e inspector �fi fhe f6me �f of the ins�ect6�n. � 20195 Holyoke Avenue,Lakeville,MN 55044 952-985-4400•952-985-4499 fax ` www.lakevillemn.gov