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INDIAN RIVER COUNTY <br /> DEPARTMENT OF UTILITY SERVICES <br /> MAJOR USER WASTEWATER AND/OR WATER <br /> UTILITIES CONSTRUCTION PERMIT <br /> APPLICATION FORM <br /> A. APPLICANT <br /> NAME <br /> ADDRESS <br /> CITY STATE ZIP CODE <br /> TELEPHONE ( ) <br /> B . OWNER/AUTHORIZED REPRESENTATIVE ( IF DIFFERENT FROM APPLICANT) <br /> NAME <br /> ADDRESS <br /> CITY STATE ZIP CODE <br /> TELEPHONE ( ) <br /> C . PROJECT <br /> PROJECT NAME <br /> PARCEL ID <br /> LEGAL DESCRIPTION <br /> TYPE OF PROJECT <br /> HOURS OF OPERATION <br /> ANTICIPATED CONSTRUCTION SCHEDULE START <br /> COMPLETION <br /> D . METHOD (S) OF FLOW DERIVATION (CHECK APPROPRIATE LINE(S ) <br /> ( ) EQUIVALENT RESIDENTIAL UNIT DETERMINATION TABLE <br /> ( ) SPECIFIC REQUIREMENTS FOR INDUSTRIAL USE <br /> ( ) EXISTING FACILITY/PREVIOUS RECORDS <br /> 1 . ERU DETERMINATION TABLE (COPY ATTACHED) : <br /> TYPE OF ESTABLISHMENT <br /> SQUARE FEET <br /> PAGE 1 <br />