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�/ <br />": ' �'H E C� �7Y O F E_� � R E� i Date—� d� <br />. SF,- � <br />Ske!ch oi Proposed Sewer Connection tor Building Situated on Lot_ �N � � j� _`� _ � �' � � /� - - --- � — <br />Division or Addiuon-_. --.Sc'/ie', '__ 6�- 2�, - 5 C' FrlM Bluck _ S6 c r/3�",f,F� <br />------ -- r - <br />�/ �, -7� // ���ir� �.., <br />No._- ��_�I-i..2 ��f� ��/rn, �.srr f --Owned by_ .__r�s- /� _ / � s � I���f,_ <br />-- - _ _ - - ---- <br />Applicafion aad Connection by—���. ��"~ °�� <br />----- _ _ _ -- - <br />-- ---- <br />�a., �/..</ �rn�i��'�G zz5'� �Qst""' u /�,�;�� <br />Rem�ke:----- --- -- - — - — - _ _ -- Rec. Y—_ ' <br />�� — -- <br />JepW ol So�nor al Cowedlon ( I I � <br />J <br />y" ��..,. ,� � �' ���..r <br />� ���x� .�-.:�— <br />,y/ �. <br />_ �,.._, ., _ � , � � � � <br />`';� ,; . / � . <br />Connection made ther2G . day o(_ __�-���L,�__ _— _19_!c'� Examined and Appzoved by____��! �d �' �n -- <br />./ Ciry .:zainee� <br />______ __—_—.._ —.__.. _—.-.-- — Supl. of Slreeta and S�wer� BY---- �_� LCGI��1_ __ <br />-�i <br />B7_—. _ _—.__'.—..—__..-- Inepaclo� — <br />2 ��)��<1 <br />