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City of Lakeville
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Sewer and f�later Tie Card
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Contractor
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Permit Number � _��,i" � 1 �
Date
Street Drain-tile
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Size of Water Service
� Comments�� fLTES1� S�NIT�(�-�' �VE� 'I.D� 2 ��Tr�NG�S
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I��s� have fhi� c�r�c! or� s�fe fv� �he in�pector at the f6me
c�f th� ins�ectc�n. $
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20195 HolS�oke Avenue,Lakeville,MN 55044
952-985-4400•952-985-4499 fax
wwwlakevillemn.gov �