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SOUTHERN RIDGE_0021.tif i City of Blair Authorization to Mow Grass Over 12" Date of Final Inspection Prior to Mowing: Height of Grass: ® Over 12" but less than 24" ($0.0125 per SF) AOver 24" ($0.025 per SF) Inspector:' Property Location: c Owner Name: r 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) / . .° o 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 Post\Authorization to Mow Form.doex Updated 5/28/2013 I