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T�-'E �IT� C�F' EVEf��TT ��-. : , %_ ; <br /> Date---.---- --- <br /> Ske ,�p�oposed Sewer Connection for Building Situated o�� Lot . - _ __�_ �/ _ _ ��__5____ Block.�' �' � <br /> �/ � f, <br /> Division ot Addition --� ;,_ � r /T _ �!�._.-,_G/_�i ;_--�--� .�7�. -- <br /> No.__�. '� i n� — — ,, �, /%� •`(-�v'/� . Owned by�_� � �.�.. '- � <br /> — -- --�s:LL� !--• r�?!-' ('. �7'�1`L!� ���'�-- <br /> APP��cation and Connection by—___,.�_'-��� � / �:r !'Y_____ ____ _Licenc^e <br /> Remarks : _ _--— --- -------- -- -- <br /> Depth of Sewer at Cunnec[ian —� � -.. ���- _���—�---_-I �--�-- � <br /> _ c�'•� �,�1__ �, � <br /> i ��� �— / r,� ,t n r !/ ,e� ;:/, _ � u �� <br /> /'/'/ /�� / %7 ��/�i� �1 � �—��-/ %, ' __— 6�.��- <br /> --��--��=-- i R I <br /> � Y�� J. � j � � <br /> �., ��^.. / , � (� � <br /> ! <br /> uii:..., �o�'"' �� 7 i .\ � �n <br /> . . ...� ra�..,�2�„ i (� i � - I - 1 <br /> _� ,..� . -�{' ..�-. . . ..'_"` I <br /> � -- �� � . � _ I <br /> a, <br /> �� <br /> f <br /> 1 \ \ <br /> �i <br /> S \ <br /> 1 � <br /> � � .., C_��'/�/ �f`.r �{� i. . <br /> � ---�_Yi—�. - ---- i-- <br /> � I 1021:� � <br /> Cmmection nnde the��—day of_i1���� ' � <br /> 192��"'. Exar,iiued and Approved by_ <br /> - ciir enu�„�«-- -- <br /> -_-__ ---- - _-------Supt ot Etmeta und Sewero. BY — <br /> . " . -----�-- <br /> ➢Y—______.�—____'--_____'._--__.-_Inspector. __— <br />