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* 1. What is your street address in Town of Jerusalem?

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* 2. How many people are named on your deed?

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* 3. What type septic system do you currently have?

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* 4. How old is you septic system?

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* 5. Considering the cost of pumping holding tanks, annual or bi-annual inspections, or possible replacement costs of older systems, if Jerusalem were able to offer an extension of municipal sewer system with a cost in the range of $110 to $125 monthly, would you be in favor of a sewer system expansion?

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* 6. If you would like to receive occasional informational updates about Jerusalem, please put your name and email below.

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* 7. Questions, comments, suggestions, criticisms?

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