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- . - - TH� Cl��nl, OF E\IEt��.�'T • Dato_^'_ `� �'lt, �J� I <br /> c� �, ,� - — <br /> �G��/ ✓���r,- ��= /' � � r"�"'----. Block_. - --- <br /> Skelch of Proposod Sewer Connection Sor �uilding Situated on Lot;�__�� :__ --- <br /> ` 1` ' �+)_,ilt�;�,:�;:.).�, ,�. 1 .7t t/ rr 'y . <br /> Division or Additio�_Y-.�.� I .—T;-�;i�ol�;�1'r�,: ; <br /> '���s~� i��rYl :'1' ( `��r� r ry - <br /> 1 <br /> , � OwnedbY---ff-}L�•.�aPl-�-.-i�t�C.� ;i;:: -- <br /> No.—af:� `v-�t _�.�Y.'S`; - . ,� <br /> Application and Connection by � A r v� /{ � � '��'r �"�� � _. _Licensee <br /> Rem�ka:--- -- _.. .. <br /> Doplb o( Sevim at ComecLLon � � � � <br /> I I — I <br /> I I <br /> � <br /> ''' ' ,� . '� ":�':I' <br /> .. . . . . ,. ( 1 <br /> �� <br /> � � <br /> �1� <br /> r ,;- ; �d <br /> .. � i i <br /> � i � <br /> ,. <br /> . <br /> 'J ` � a"s*'z'.,' `t�""�-F1r''.�.x.l j <br /> ~ + l�, �� 1 � <br /> �f' .., � ,, �r� <br /> ... <br /> .=% • <br /> � S��`'� �. r:,�•.p. <br /> � ',/•�,^ I ��t ' i <br /> � SuwCWE � •�.���� .i•� ���•�:���Z.,1`t <br /> 1,1, S �,.,�4 E:.�.t.1 ;;��t ��+��ti � , � <br /> � �� ` � I <br /> Connection mado tho day of 19—. Examined and Approved by t`� v• �r°��1�tl1 <br /> \r Ci.y Enqlnccr <br /> � Supt. ol Slroote �d Sower� Dy�� �-'� (''""'��•'y '-- <br /> i <br /> � Bp _ �nupoctot • <br /> : � ,..�....<<.�o.. 15202 <br />