SOUTHERN RIDGE_0001.tif City of Blair
Authorization to Mow Grass Over 12"
Date of Final Inspection Prior to Mowing:
Height of Grass:
C3 Over 12" but less than 24" ($0.0125 per SF)
Over 24" ($0.025 per SF)
Inspector:
Property Location: < r �&M
V
Owner Name: JI
Property Identification Number (PIN):
1) Area of Lot Size (SF):
2) Area of Primary Structure (SF)
3) Area of Ace. Structure — 01 (SF)
4) Area of Ace. Structure — 02 (SF)
5) Area of Parking Surfaces (SF)
6) Other Area Not Grass (SF)
7) Subtotal Lines 2 - 6
8) Area to Mow (Line 1 minus Line 7)
00
9) Fee (Line 8 multiplied by Height Fee)
(Rounded to nearest whole dollar. Minimum of $40)
- Y Name of Mower Hired:
Person Contacting Mower:
SAComplaintsNowing-Sign Post\Authorization to Mow Form,docx Updated 5/28/2013