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A TRUE COPY CERTIFICATION ON LAST PAGE RYAN L. BUTLER, CLERK Property Owner acknowledges receipt of a copy of Chapter 78, attached as Exhibit "C" and incorporated herein. Property Owner also acknowledges and understands that by making this Application Property Owner is applying for City sewer service and that billing and obligation to pay sewer service charges for the Property will commence with the first utility billing cycle upon startup of the System. By making this Application and in consideration of approval for a City STEP system, Property Owner agrees to be bound by and comply with the terms of this Application and Chapter 78, as amended from time to time, and all other applicable ordinances, resolutions, and regulations, including but not limited to all provisions relating to installation, maintenance and repairs; payment of charges, fees, and costs; indemnification; and access easements. I fiuther acknowledge, upon remitting payment for the STEP System and executing this Agreement, I will be charged for sewer service comprised of 2 base facility charges and consumption. PROPERTY OWNER(S): BOARD OF COUNTY COMMISSIONERS OF INDIAN RIVER COUNTY Date: l :Z. Joe annan, Chairman JWm Tit kanich, County Administrator E;Y WILLIAM K. D BRAAL CITY APPROVALS DEPUTY COUNTY AT"i ORNEY Check all applicable: The foregoing Application is approved authorizing installation of a City STEP System to serve the foregoing described property and for City sewer service, subject to all provisions of this Application, Chapter 78 of the Vero Beach Code, and all other applicable City ordinances, resolutions, and specifications. The foregoing Application is NOT approved due to: (list all reasons for denial of approval) Direk, o Water and Sewer Date Payment: 41d';510 • r Page 2 of 2 R:1W&S DEPT PROJECTS OPEMWS14005 STEP Program Imp] ern entationlSTEPApps12019,11.06.STEP.App.Rev! sed—NO CREDITS.docx