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P.O. BOX 178 114 WOODHULL STREET LAINGSBURG, MICHIGAN 488480178 PHONE (517)6515374 FAX (517) 6515604 WWW.LAINGSBURG.USDiscover* Enjoy Celebrate!APPLICATION FOR AND CERTIFICATE OF DISCONTINUANCE SEWER

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Anyone who is required to provide written consent, agreement, or acknowledgment of certain terms or conditions may need to fill out an I-We form undersigned. This can include individuals entering into contracts, agreements, or legal documents.

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