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THE C� � Y OF �`✓ER�T', <br />Date_�'�_'� � _ � <br />/ / �� 'J <br />Skelch oi Proposed Sewer Connecti0n !or Puilding Situaled on Lot � �% I�. _ ___ Block � L-__- <br />; Diviaion or AddiUon ----1�-�,q` �•o•d� l�fyllo_--- ---__ _ . -- - --- - - -- ----- <br />>' ✓ �L'% <br />xo.-_ �9 _ �?N'_ az ru.{�,_ -- ---- Owned by _ vC �V �?t?L _ <br />--- <br />,- <br />%/ � �/ <br />Application and Connectlon by_ __� � �L'�K- - - -- - - Licenaee <br />/ � <br />Rem�ke:__Ja �f F �'''YYn^=-� /I�US� - - - -- _ _ _ _--- <br />- -�-`- <br />DepW ol Sa��er at Connedton � I � <br />- '-- I <br />.- . <br />�� �l� 61nntk-U��-..� �.c <br />j..yfi�...��c--- a-� 'J.%.u�" �^��At <br />�� r <br />�Gil.�,�l. ,� ,d.t_�h.U' �'1'll'�M_<t� . <br />4� J�� %�. �1�.�.lxl�� �.�x���V FL Ay_ <br />t 1 � <br />tU _�y-i�_, ,\Mw_ . <br />% r j <br />;"1� ��� = <br />/// <br />! <br />✓ � <br />Connection made the ��' r� day oE _ <br />( : � i .� <br />�.t w•U � i -113?t1.4 <br />. .___-_ _ r _ _'"_ <br />�_ �� <br />BY ��_���6�..Y. <br />�� <br />1.� <br />� <br />I <br />I <br />�1`^. <br />'/ <br />�: �i J ;' y' /� ` _ <br />� <br />19�1 <br />_-_. Examined and Approve by_ _�.—�'_'_���1 _- - <br />%/, C:ry Enqineet <br />_ Supt. ol Slmele and Sewen By. . ._ J'.��--�.��'� �_ — <br />Inepocto� A�.� G'� O . _. ._ _'_ _ _'_—_"_— __ _ '_— _ <br />