HomeMy WebLinkAbout20250165 131 Middle Ave Subdivision Water Service Connection Agreement City of Saratoga Springs CMMIPM
OFTICE OF Fl_MUC FORM TBdoMJI oar
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•� Phane 518687-3550 518-87-2417 1
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Aved ;
KEW WATER NICE CON1YECT16Y
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Ydmbe ly R.and WGh"R BouNam
property owxxer's Name: Pan act Natlaa cif applkabls); """�°""'��,r"•°".°�"�
12svB&Av.nue;iU6w+4 erssa13'MddlrIkonuo 166A6-3-5
Property Aridxeas: 'fox iViap#:
ixe of Tads(check one below):
v/ �� lreater than I"
Pla nt vfwator 6QU be defined ss fm fund(14,M)cubic fleet
of watw pw yonn
Con wt ths Wader Dept of ext.2502 for aasistamc with'ell&W
use estltxration and mew spaAficatiow tdore aig=g below.
Number of Dwellilxgs: Estimated Cubic,Feet of Water per Year:
Tn be caVIMd in fig]wi014 kny contippvAw or pratua are or hefare the Hulling Tmspectmz nppmvd of the w4h plmubin&
bwIudhS the installation of the water metro,at et dw dme of the imance of a ugft lwm4
The undam* ed represents to the City that may hava M lard a=plete apd#crl Y to exemn this docummt and find an,d Commit the
developer to abide by the City Wow Cr&nanca 'I1tla agramemt shall be bkdi*mall of the tmdaMpad trmttcrow.
The wed ackm. wledges that a copy ofd 6 dccumant will be de)vcvd to all appraptlale and aecassory gover =ntal eti&es_
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Authadzod Signaxc: CompM N me;
Carter Conboy !
C lLddres . road way, W 0&-vmtoga Springs, NY 12806
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Phone Naalrer: Fax Nnmber 114117
Department of Public Worlm Approval.— AL
Date: _