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T�'IE G� fY OF EVEIREI' . <br />Skelch of Proposed Sewer Connection ior Building Situaled on Lot___ _ j�_ <br />V <br />Date��� <br />Block__ _� <br />Division or Addilio� �-.n U_'�- C_ L, f-{ E!%}/. T 5 /� <br />No.—S�-�—"-" G/YJ 3/% i7 [� _Owned by_ �_/ L L�1 ��" b- V�U�-� L E Y _ <br />Application and Connecflon by�- �� �—��--G �------ ----- - - — - -Licensee <br />Rem�ke:1 � �y��� � �-_# .�J_SZ�? � ----- ------ --- — <br />Dept6 oI Sawo': at Cawecllon <br />;,F •� G;w.�_ �-.:i,� � � � <br />�c;�.� � �.�� <br />� � � � <br />� � d wEGL /Z� f1 i� I <br />��. y' ,�,,_c;A,u a.u...�«. <br />JZ . y, t.c-+tiuu-t�. n<_, � u, v�� �.�. <br />µ" <br />� � uw�,� tih el'�� , <br />�� <br />� <br />"' ! ���� �" �ti <br />�� <br />'�.tv� � �(..�.,Llw.� � <br />U ,vr �3 �'J <br />/ <br />� �� � u �,� � � <br />� � �`�.�. <br />, � r <br />�/ ,� � <br />Ccanection made the. ���� _day oE. _�"`_�j���- ---- -.19�'�/ . Examined and Approved by___�i�/�QLvL-- <br />�� � Q _ City Englnre� <br />..�-..Ol.f�:�. ��c � ______._...— Sup�. o! Slmots and Sewe�e � Hy� ��� '�A/A/� � <br />-- -- � . <br />- _ ti� , <br />ey — �---�"'�'�'�c-"y' — -- -- — _ t,apa��o� 213 7 7 <br />