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. <br />E c.,ITY OF �VEF2E � T � / �� <br />- nQ�e �/: .? 5 ; c. ,�-_ <br />SY.efch of Pzoposed Sewer Connecdon for Huilding S:tuated on�' _'�__ :G �- i� � <br />IIivision or Additio� ._<t ` � _ : � ;' _ <br />?/ t . ,_�--- • ---------_.Biock — <br />No.—G`._ 4. r• " _y... •'c �.sel �; "' ri � f <br />_ —Owned bY- •� �t+w" �-�- •— - <br />Application and Con�ection by .�-*�i_�. �„a...T <br />/Y�,,, -- --- --- <br />A k • ,L •• '�, ' ----------__ <br />� <br />em� e.— �---- ------ - ---- ------ -Rec. # / :' G "'_L — <br />Depth of S�we� at G�nnecllon � � � � <br />� <br />"T�� ._ _.�:�� °� � <br />: _� � <br />. � <br />Connection made the. ��r � _day of __ �.�L _ ��' "� � � <br />---`(-- _.__19___. Examined and Approved b' �` �' t Q� <br />, - r-r�-�--'— �� s�- <br />� � City Englncer <br />-"----�— -� � j .— Supt. ol Slrecfe and 3ewen BY____�7 <br />_ _ _ _- _ <br />By—._. _ ___--__' . .__._.�' . Inepeclo� � f - � � i <br />27'J96 -,r_ut_ t ._ , � <br />� i r` <br />