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( <br /> .._ _ _ ` I. •.. <br /> THE �1TY OF �VCI�� ��" <br /> Date ..,':y�.� !! ,`�.".._ <br /> :etch oE Proposed Sewer Connection for Building Situated on Loty a'���'____ Block_� <br /> )ivision or AddiGotL <br /> ,�/,,,�,., �.N,.> ;'� i, � ��r/ - __ <br /> �`'/'� /�� /� _�WR@CI�7 '�(J��na.�n .— <br /> �f0.—_ - _.._s._''-,:_,�__' / <br /> , . Y----- -- -- - - <br /> Application and Connection by__ yF?� --�'���'s��• ��.��� T�ir�.� r ,�,�,�. <br /> �� � i��.��i' . � ---- --- --Licensee <br /> Remarks:--/J'C•„�.nr. 1���_� r,-1 � I Ct.L =o F.[_�;. l,.� �.,� �,fi Ym+r//O -- <br /> Doplh ol Scwcr at Connactioo I I I � <br /> /(' , — I <br /> . — —�j,�/' i�/b/�,��- �.4� I_ <br /> I I <br /> ; b_ <br /> : �l �` � 6 <br /> _.. I <br /> �,�, ,/ �� � <br /> ,, <br /> � ; ,, ,. .. <br /> ,.. i i <br /> ,�,:,� ` f \ � , i <br /> J -� � ; <br /> �`; �. � . �i � �� <br /> . � ,,�,�„W� .� <br /> : - - =---: ; � ----- , <br /> : �� ;,�-:,.----------;---r, .:,-.s--'-- _-_ � <br /> , --����+",�%�--SLiS��a `� I <br /> �: <br /> � ' � <br /> � c - , .; �� i <br /> . <br /> � the___j___day of—.-_;_t�u-wc. _19��. Examined and Approved by.._�,�_'�• � <br /> Connection m/�ade <br /> ; / II.. ^ / �. CIty Engineer <br /> —S� —"��'�k7Vta^-�.-____. __Supl, ol Sirealc and Sewen Dy_- _ t.rlL_J_���� <br /> ` � �+ V <br /> . Hy—-_��_CSf�^_i:— 'Inepector ^ 11 - - - ' <br /> � �e ena�.o u�i��uc��ea mn �•j� <br />