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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 /> HAS PROJECT HAS BEEN REVIEWED BY PLANNING BOARD, PRE- <br /> APPLICATION AND TECHNICAL REVIEW COMMITTEES YES <br /> NO <br /> PRE-APPLICATION AND/OR PROJECT No. ASSIGNED BY PLANNING BOARD <br /> No. <br /> ALL PROJECTS WILL REQUIRE AN ENGINEERING REPORT SUBMITTED WITH <br /> THE UTILITY APPLICATION PERMIT DEFINING THE PROPOSED PROJECT'S <br /> IMPACT ON THE INDIAN RIVER COUNTY DEPARTMENT OF UTILITY SERVICE <br /> iIiiw SYSTEM (INITIAL) <br /> PAGE1 <br /> ( a3.T. a. <br />