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INDIAN RIVER COUNTY <br />APPLICATION AND AGREEMENT FOR DISPOSAL OF SEPTAGE, FOOD ESTABLISHMENT <br />SLUDGE AND PORTABLE RESTROOM WASTEWATER <br />JUNE 2022 <br />I have read and understand the requirements set forth in this application and Agreement. <br />Print Name <br />Signature Title <br />Date <br />APPROVED <br />Print Name <br />Signature, Director, Indian River County Department of Utility Services <br />Per Resolution 2017-052 <br />Date <br />34 <br />