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.~Q.~l <br />wasv~R At~a cc~s~T To <br />It~TALLAT20~ U~' SANITARY <br />SSWER. C01~NNCTI4N <br />TO THE C4UACIL OF T8N <br />CITY OF RORTH OLi~STfiD, OSIO: <br />The undersigned, owner of the parcel of land identified ~ the <br />County Auditor's tax as Pe nt Parcel No. 231a..ti^l-1 and bated <br />at X41 Stearns Road, hereby ae~mc~+rledges receipt of the notice re- <br />quiring the inst~,lLati4n of a sanitary sewer connection to service the <br />house situated on such premises, and I hereby waive the right to install <br />such connection m3rself and request the City of North Olmated t4 proceed <br />3~no~ed.ately with the iastation of such sanitary sewer caution with <br />the entire cost thereof together with a forfeitwre of five per dent to <br />be assessad againat such prrty and collected carer a period ~~ five <br />years in acc~ce with Sections 729.06 and 729.c~9 of the Revised Code. <br />I further consent t© the Cityts agents entering said property and doing <br />all things nacessaxy to install such sanitary sewer connection at~d waive <br />all notices i^equired by statute to be given in connection with the levy- <br />ing of such assess~aent. <br />^~.~~~ <br />Dated: - ~~~ <br />~.~:.~ <br />