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i <br /> �,2� ��� TI� E �ITY OI�' EVFR�TT <br /> � - ------- <br /> 8kekh of Propoeed Sewer Oonnect;an for Building Situnted on Lot_____----. ------ ---------- B�ock------------------- <br /> �i�iiion or Addition--------------- ------ ----- -- <br /> ----------------------------- <br /> ----------------- <br /> ----------------- <br /> y! -------•-- <br /> Nn. _� _21------------------------------------------------.Owned by ------------------ <br /> ------------------- <br /> __________ Licensee <br /> Applt�tion and connection b "-----�---� <br /> y----------------- <br /> ------- - ------ --------------- - <br /> � __ _ - -- - - -- <br /> _ _---- <br /> � -------------------------------------------- --- <br /> - ------- <br /> _- -------- <br /> ------ <br /> Deptl� of &:wer at Oonnectl�n � I I I I . I � <br /> u ---� <br /> �� � <br /> � <br /> -- - - - - �- <br /> � - � <br /> �� -j i <br /> 00854 � � � I � <br /> ------- 101__.. Examined and approved by--_----. - - - --------------- - ----- <br /> Qnnnectlom m�de the_____---daY ot. _____ - - pi�y Engineer <br /> Bupt. ot Streets nnd � BY ------- - -'--`--------------- -- . <br /> . .------ <br /> BY-- --------- <br /> --•----- - <br /> ----- --- Inepector ----- — --- -------- -- - - <br />