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� <br />THE Ge iY QF E�✓ERET . DQ�e_ �� ���� y" � <br />�� <br />, Sketch of Propor.ad Sewe: Connection for Buildiag Situated on Lot___ __ � z--- ---. Slock__. __.- _ - <br />� Divieion or Addition— �i� V� � � � �- G '� :� r �/ - � � <br />�, � � <br />�:.i i.5 G, d!_ /' i=!-' E E tif l.: :� i_Owned by_ �i f,=_�- �-"- —t_ i_ .'1 c_ ;'" '�/--- — <br />No.—_�_ --s <br />Apolication and Connection by �'��� ✓ G �'�' F <? '� �` � G =i G �'1 n ------- ---- _ - I.icensee <br />i Uv :7: i= r"' .:.� 1)�ii� <br />Renarks:--)__ � M i i'- - --------- <br />Dnpth of Sewoc al Connecllon <br />:/: �. i �' �-! /f iT,I�C <br />�f � i � u. w-c.i% .�.. _ �f.e. �C� � (Z'G <br />6..'C nh.r,.--0.�-e-.-• 9 ��i ` A>.c.�-�� <br />�%�.,�v�tw . . <br />�-'' Q .J�. �C�(.iJt.�:.. ��1:-:..; <br />�.�it �t V`�-a�.i.� ICV..�• <br />. _ i ;. <br />. � ✓.. <br />/ � 1 r (, <br />� <br />7 <br />! <br />Connection made the. -� �__day oC —`-``-'`-�ttt-�_--_19 ��_. Examined and Approved by_ ^�.-���-� <br />/s� � L City , Eaqineer <br />__�e�--�-�'�-{.�„_ _ �'����f _ _- _— _$upt. ol Slreels and Sewo�e HY ��-/�' t' V �° �� n ; (�� t' , <br />➢ ��'�-'+`�.� _ __ __--____ _.__ Inepectoc �U'�'C )- — <br />y_____ <br />