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� � THE C, � Y C�F EVEREI"' . � <br /> Date Cr S� �1�- (e4- <br /> Skelch o: Pzoposed Sewer Connection {or Building Situated on Lol���l2_�_So�}l,_3 ef 13 Block-__J_ <br /> Division or AdditiocL�"tc:����.�" -Qy-� --- -- — _ <br /> No.�3QG__C-o,,,��.r_s,�;...�-- - --Ownedby_�ac��C�_ .._�r��,+---- <br /> : .?.pplication and Connection by__��t.c.�__-�nc1S�-vz�---_- --------__ licensee <br /> � �U � <br /> � Rem�ke: �U _.���M� =.�....'� '_L— --- - -------- - - - <br /> � DeptL of Saaor al Connectlon I I I I I I <br /> �i � ��. <br /> :_� �.� b�..d <br /> _ , � �� C.etiw. �e �O�� .� � — <br /> �P� �' �.A�.. <br /> µ'' G�,!�. C 5 P� � ,��,.� �� �,_ �-- r <br /> � ------ ,� <br /> ' � , :_ �.� _ <br /> ,,,a.�.�..�- <br /> ` <br /> � � <br /> rt f- - ,� ( <br /> : �:- � I <br /> � �J>� I- <br /> . \ � / � I <br /> � � �, w,,,, -.�,�._ I� <br /> � � � <br /> '/ � � <br /> Connection made the. `�` ____day oL -__ .�'�' - - - -____19.�'�{ . Examined and Approved by__L�Lt����—_. <br /> : �� ciry evqineer <br /> — Su 6 M Strecla aod Sewen H �>'� �V C r�,S�_ <br /> ' _ ._--.._ _ _ _ . P Y—_.__—. .--- <br /> �4�` � . lnepoclor 23555 ' <br /> gY— . ___._ _ -'___'.—__—.__ _— . <br />