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TH�E_ -�lT��,�F <br />�,' _7-2��-� j//��,��y"�:� �''�, <br />Skelch ot i-roposed Sewer Cunnectaon'for Building Situated on,Ltfi.__ <br />v� <br />Division or Additio�___—___— — � — <br />�VcREI f <br />; <br />Date� ' ' - <br />;� <br />--- —Block__ � <br />� <br />No.--�— / , , , ' � , — —Owna4 by- ------ � --------- <br />—� — . <br />Application and Connection b�: _ -� � =- ----------- <br />Rem�ke: ��' _— i. (_, r„ --- ------------Rec. TM I! U'�_ <br />Dapl6 1-�uvior ol CannoNon I I � <br />�, .J =-�1%_ � �_ .Y.�- - �;� 1n��1 �, <br />- - %-I--- � - - f I <br />(o'• �e�LY�i... � sM+�.�iu,u� <br />p�SL� � �a�e.. e.�- -� , <br />6" Q 41 � S f'�. ti�- .��� <br />�, ��� &��• <br />� <br />� � � � <br />Connection made lhe �__day of_ �� — __19 C�. Examined and Approved by—� 'J i <br />— i� <br />� Ciry Enqinret <br />_____—_ ___ _Supl. ol Slracte; nd Sew�an HY=-_'=-- . <br />--_ ._'_— " � <br />By___ _ _____._ ` `�T—__—_Inepector .. 2J.v�Y � : <br />