HomeMy WebLinkAboutEHPR-4-11-10521.TIF Environmental Health Additional Fee Collection Notice
The following additional fees as checked below must be collected prior to further
action by our department
� Repair Permit Application
� Permit revision (re-draw)
L� Well Permit
, Authorization to Construct (system upgrades, etc)
� Other (please explain below)
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C� . - �� f3�/+�. �
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EHS � 'Q.Q Date �����GI