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HomeMy WebLinkAboutPermit Sewer Connection Record 1980-05-29S- a'/'2 SPRINGFIELD PUBLIC WORKS DEPAR-TMENT REQUEST F OR AID FORM Pt.l-127 Date,G)9& lins Ta ken Location of Request 4 e e- N .ltL uL( Type of Request J, n*q Jrtr t'erSf Requested By: Requested Action Addres s Phone Referred To Action Taken To Be Completed B Name date ) JJ add Date Time PW_1?7 oate ?f ^ lf qb rime -) tu a Taken sy fr r\ Location of Req uest Type of Req uest th lewct Requested Bv: Address{z? n, zlT\ phonef?Z.g1lg Requested Action -t\ Referred To Action Taken5 () rE To Be compt ,tra sy_I/yqlgl (iafe-) h. - !*.-d +* Tzs- C-C- F.d o*)7 8 b. Q. *s! d-:-*.t Name C-'irt .S t_.*-^-' L- Jo Date 7 j.s ,atlme / --}*s ml, s- SPRINGFIELD PUBLIC I.IORKS DEPARTMENT REQUEST FOR AID FORM (