NOTICE REQUIRED SEWER CONNECTION

TO: _____________________________________

(Name)

_____________________________________

(Street Address)

________________________________, Iowa

You are hereby notified that connection to the public sanitary sewer system is required at the following described property within ______ (____) days from service of this notice or that you must file written request for a hearing before the Council with the undersigned office within said time limit.

Description of Property

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

The nearest public sewer line within _________________ (____) feet of the above described property is located

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

In the event you fail to make connection as directed, or file written request for hearing within the time prescribed herein, the connection shall be made by the City and the costs thereof assessed against you as by law provided.

Date of Notice: ________________________

City of Carroll, Iowa

By: _________________________________, _______________________________

(Name) (Title)