SOUTHERN RIDGE_0005.tif i
City of Blair
Authorization to Mow Grass Over 12"
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Date of Final Inspection Prior to Mowing: l
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Height of Grass:
® Over 12" but less than 24" ($0.0125 per SF)
– 24" ($0.025 per SF)'''
Inspector: — h/ / V
Property Location: L? w
Owner Name:
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Property Identification Number (PIN):
1) Area of Lot Size (SF): I X -
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) _
9) Fee (Line 8 multiplied by Height Fee)
(Rounded to nearest whole dollar. Minimum of $40)
Name of Mower Hired:
Person Contacting Mower:
SAComplaintsNowing -Sign Postwuthorization to Mow Form.docx Updated 5/28/2013