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2. For questions, contact the Public Works Department at (407) 262-7725 Ext. 1761 or by email at ajariz@casselberry.org.
4. Address:
6. Parcel ID:
8. Existing Building Use:
   *Note: If you plan on receiving credit for an existing building on the property, you must include documentation showing the existing building's use and size.
10. New Building Use:
12. Existing Building Area (sqft):
13. New Building Area (sqft):
15. Existing Water Meter Size:

    1. 3/4''
    2. 1''
    3. 1 1/2''
    4. 2''
    5. Other ______
    6. No meter
    7. Unknown
16. New Water Meter Size:

    1. 3/4''
    2. 1''
    3. 1 1/2''
    4. 2''
    5. Other ______
18. Will you need an irrigation meter?

    1. Yes

    1. No

    1. If yes, what size? ______
20. This building will be connected to:

    1. City Sewer

    1. Septic Tank
22. *Note: Please show the water and sewer connections on the plans. If you are not connecting to an existing water or sewer connection and need to tap the water or sewer main, please mention so in the notes section below.
24. Additional Notes:
Leave This Blank:


25. Print Only

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