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Sewer & Water Tie Card
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Address: 16218 Dutch Barn Dr
Contractor: DLR
Permit Number: i�y � 7(;
Final Date•
Street Drain-Tile: No
Size of Water Service: 1"
Comments: AIRTEST SANITARY OVER 20'/2 FITTINGS
THIS CARD MUST BE COMPLETED AND ON-SITE AT TIME
OF SEWER &WATER INSPECTION
20195 Holyoke Avenue,Lakeville,MN 55044
952-985-4400•952-985-4499fax
www.lakevillemn.gov