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TE�E C!l"'Y �� �VEF��T7' ; <br /> Date�'___ ' -_-_ <br /> -- -- <br /> _, : <br /> ketch of Proposed Sewer Co�wection fur Buildin�; Simated ou Lot �' ' _ — ___ Block_—�% 1__-- - <br /> Divi�inu or Acidit�on , ; , ;_,� � —_--_ <br /> -- - - _ __ - - / -- <br /> �L <br /> � <br /> � �� �, <br /> \o ' • = ---- ' ==— — Owued Uy /I — <br /> : <br /> aPnlu ,ion and Counection Uy - - --��. �//—�' � - _--- _Licensee <br /> RemorAs: _ � <br /> Drpdi nf Sewer n[Cannec[ion I I ����� -- I � <br /> � <br /> . ..__._—_ _ . <br /> . . . . . - -� - —_ _. _ _._. — —_L._ <br /> _� I <br /> i i <br /> � <br /> .-+�:,, . � � <br /> ..:�..�� [ . f n <br /> 1 �. <br /> . I I <br /> "_-.-- --- _. !.'" I_ <br /> I � ' <br /> • ' ^�I I <br /> � . ��. <br /> V <br /> I \ I�I `.� <br /> �I � ��� : <br /> I � `� <br /> ��: <br /> � �, � <br /> ---i--. _ . � ._. ._ ; <br /> --- - . _.- -------- <br /> _.� _ � r ! <br /> � 00� 46 � I <br /> Connection tnade the—/�--—�ay of—�--'.-192__. �xamined and Approved by- -- - <br /> ( - CiIY Entil��ccr <br /> . . SupL aC Streets and Sewers. AY . __ _ _ __— ____, -_ <br /> __ _.. . ..._ . _ �' '_ ..InsPce[or. <br /> - -.__ . . - ---- <br /> L+v---- ---- .. ------- — <br />