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TOWN OF PEMBROKE PO BOX 866 / 98 Union Chapel Rd. Pembroke, NC 28372 APPLICATION FOR RESIDENTIAL WATER SERVICES SECTION ONE: (TO BE COMPLETED BY APPLICANT) NAME:___ PHYSICAL ADDRESS:___ MAILING ADDRESS
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PO Box 866 98 is a specific address for mail delivery.
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Individuals or entities who have been instructed to use PO Box 866 98 for filing purposes.
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