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appendix 1 residential connection form and permit application

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IN WITNESS WHEREOF, the other parties have duly caused their authorized signatures to be<br />

attached hereto, SIGNATURES MUST BE NOTARIZED.<br />

APPLICANT:<br />

PROPERTY OWNER<br />

By<br />

By<br />

Date<br />

By<br />

By<br />

Date<br />

MARINA COAST WATER DISTRICT<br />

By<br />

General Manager<br />

Date<br />

Appendix 10 Bills of Sale.doc<br />

Page 9

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