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SOUTHERN RIDGE_0027.tif City of Blair Authorization to Mow Grass Over 12" r Date of Final Inspection Prior to Mowing: Height of Grass: ® Over 12" but less than 24" ($0.0125 per SF) Over 24" ($0.025 per SF) Inspector: Property Location:, Owner Name: �' - `1I✓°r� Property Identification Number (PIN): I 1) Area of Lot Size (SF): I 2) Area of Primary Structure (SF) 3) Area of Ace. Structure — 01 (SF) 4) Area of Acc. Structure — 02 (SF) 5) Area of Parldng 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 do r. Minimum of $40) Name of Mower Hired:'G r �° Person Contacting Mower: A - - n - SAComplaintsNowing-Sign Post\Authorization to Mow Form.docx Updated 5/28/2013 i