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1 i�� �.l..�.,�~ �1� E V IL�i \� E� Date_s_ ,�L-'_�,�_[ : <br />; . , X�.s 7 <br />���Proposed Sewer Connection fo� Buildiu�; Situnted cn Loi ,_ _--' _____________ Block— <br />Division or'�'dttftYon _ � -- - -- ----- ---- ----- -- — ' <br />.. _.. , j�' --<- � ` N T .1��.7 / � <br />No. — -- _-- —=�j— i �t�'. '_ �__ Owned UY — �` � D /� <br />�- �", <br />Applica[ion and Coimection by _�!:.._r_._ ___— ________ _ _ Licensee <br />Remurke . _. ---- -- — <br />/ � 1 � .�_.�� J.� <br />Dep[h of Se fr i.t Connef[ion �i .� ��� % <br />---�f J �' , � ! !.� f r t' -- —_� <br />,_.::_ <br />, r'' � � :. :, .'_��-'� <br />'-%1 �`''� �� I � I <br />� <br />, <br />r;;:;. ;, <br />� � � <br />� <br />Cminectiom m�de d�e_ __ __ _ __day of _— <br />; -� <br />I <br />�' <br />-- , , -- -- - <br />� 10�2'l � <br />1�J2_. Exemined ond Approved by <br />Supt. oC Streets and Sewers. By <br />pv-- ------- . ----... __ Inspector. <br />; �. <br />� <br />. —ciir r.�a�o�e� - — <br />