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SOUTHERN RIDGE_0013.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: 00 Property Location: t7 4 1' w Owner Name: 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 I 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: SAComplaintsWowing-Sign Post\Authorization to Mow Form,doex Updated 5/28/2013