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SOUTHERN RIDGE_0009.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: ()7 Owner Name: Property Identification Number (PIN): r 1) Area of Lot Size (SF): 2) Area of Primary Structure (SF) 3) Area of Acc. Structure — 01 (SF) 4) Area of Acc. 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 I minus Line 7) 9) Fee (Line 8 multiplied by Height Fee) (Rounded to nearest whole do 4r. Minimum of $40) ,6, Name of Mower Hired: V Person Contacting Mower: SAComplaintsWowing-Sign Post\Authorization to Mow Form.docx Updated 5/28/2013