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�'', ��r THE � :ITY O�� E�/ERE�fiT �- � � <br />na,e /,,:. ...- � -- i i �/ <br />' J <br />Sketch of Propoaed Sewer Connection for Ruildinq Situated on Lot__ ��_______ —. Block_ ___ _J <br />Division or AddiHon—�.• �-i i �'1.ti ��! �". � � � _ <br />� <br />' ,,.._ , i � � / <br />Na—_ '� r�l/ (. /- /�! iilii. c;; r:J�. --Owned by--l-�-L !:11�1'���1, Z: r.:��rf — <br />Aopllcaflon and Connecflon by �`' '�Ul;�,- �` — <br />/ � � <br />, Ram�ks: J�J T �'.i �,��1 �,i i,_. i Tr' ti� ---- <br />Dsplh o1 S�aa[ nt ComMtoa � <br />� <br />f <br />� <br />I <br />d <br />--- �-�-- r i � <br />�. '"�,. � t. �� �/ I � � ;"7 . � � <br />'hi � <br />, • `� � =;'; ��'.� �:,%�/ <br />Connec4on made the. �� =day oi_�''�'`t"_----13 �! . Examined cnd Approved by_ '•• _ <br />^ ' � –7 � Clty Enginatr <br />_ Yx�F�-u Supt. 01 St�eols and Sewen By____ 1r � �' f�b�-' <br />r __. ___– _ _ <br />__-- _'— _ _'__'_ <br />Hy____..--S..i�o_ _.._.__. _,._____ .__Inepector .. ��JM�� — <br />Licensee <br />� <br />