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Get LA General Application - Livingston Parish

__________________________________________________ Street _____________________________ ___________________ ___________________ City Phone: (_____) ________-____________ State ZIP Electric Company: ___________________ ◻ Antenna - Number of Antenna’s _____ ◻ Billboard - Size (____________x____________) ◻ Boat Slip ALL CULVERTS MUST GO TO PUBLIC WORKS IMMEDIATELY ◻ Culvert (Driveway) ◻ Culvert (Sub-surface) Number of Catch Basins _____ ◻ Dirt Pit ◻ Electrical Authorization.

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