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This is an application for a Sewer Repair in the City of Lafayette.

If you are not the deeded owner or authorized agent you must have them submit a separate owner authorization form.

After a complete submission and review we will contact you with further instructions including payment information.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
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09/25/2022Click to Sign

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