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12 <br />WATER AND SEWER RATE FORM <br />WATFR <br />Provide the data betow for atl resident€al users <br />Monthly Rate for 5000 Gallons 12 Month Average Bill <br />Current <br />Projected <br />Projected rates must be adopted by the time bids are received (State pragrams onfy. SRF rr~ust have been in effect for 30 <br />days prior to applicatian submittal). If the project receives funding, compfete analysis will be required. For SRE this analysis <br />will be part of the Asset Management Ptan submittal if points were received for Asset ManagemenE. <br />SEWER <br />Provfde the data belaw for all residen£ial users <br />Monthly Rate for 5000 Gallons 12 Month Average Bill <br />Current <br />Projected <br />Projected rates must be adopted by the time btds are received (State programs only. SRF must have been in effect for 30 <br />days prior ta application submittal}. If the project receives funding, complete anaiysis wii! be required. For SRE this anaEysis <br />wilt be part of the Asset Management Plan submittal if points were received for Asset Management. <br />Rev 7J16/2020 <br />