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TIE CARD
City of Lakeville � ` � � Positioned to ?hrive i � v � � Sev�rer and �later Tie Card Address ` � � �'� 4�,p�� � �/ � --��-- � € Contractor �1, —�— Permit Number � �' '� ' C'� � � Date �/� � ' Street Drain-tile �- � �� Size of Water Service Commen±s � rLT� lT��- VE12 �� � �irt'TI/VG"�S I��s� have �hi� ca�c! on s�f� fmr �he inspector at #he f�me �f the ir�sp�ect��n. � 20195 Holyoke Avenue,Lakeville,MN 55044 952-985-4400.952-985-4499 fax www.lakevfllemagov