SOUTHERN RIDGE_0041.tif Ci t of Blair
Authorization to Mow Grass Over 12"
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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) h
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Inspector: �-
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Property Location:
Owner Name: , ' k-
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Property Identification Number (PIN): C� /
1) Area of Lot Size (SF):
2) Area of Primary Structure (SF)
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3) Area of Ace. 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 1 minus Line 7) j
9) Fee (Line 8 multiplied by Height Fee) Y
(Rounded to nearest whole dollar. Minimum of $40)
Name of Mower Hired:
Person Contacting Mower:
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SAComplaintsNowing -Sign Post\Authorization to Mow Form.docx Updated 5/28/2013