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i,- • � ' <br />t.;.: <br />', i:• 1 �,.. �d.? � I'.,:. <br />THE �..IT`( �F EVERE". T <br />Data / �1✓%p iZ �F <br />' Sketch of Proposed Sewer Connectiwi for Buil.ding SiWated on Lot__- -- __-z_---- _-_ -- Block_ j�—_ <br />; ��(r.GS�"Ron� <br />Division or Addition_��_U_F�.E �- N_I:, l G l� T- S____ __ -� <br />; .�_.C7-t�lt1 �%3 E �� r U/7— <br />No.s?�Q 3 1�J l�. �� Owned b E.-=-_ =t-'� —� �� �- <br />--�'_-��--�--_------ Y— -- <br />Application and Connection by � — � -�= r-� ��4'� — ----- - - - --- — Licensee <br />�rL 7� 2 I_ <br />Rem�ka:—% � --- --�—Z• �— - - — — _ _ - - - - . _ _--- ---- ---- --- <br />� ` L� <br />� <br />� � 7� <br />, �� s�� f�:� <br />_.�._� <br />_ .... _. <br />� <br />� Mcn�,��/-- <br />I <br />� <br />/j y�,� - GaLvi �t/ <br />Connection ade the. '"/ �4 ___day of_ _/ / 1°-^_'`'�`' -- -- - --19� '�' . Examined and Approved by_ ��— -- - <br />y� � Ciiy Enginccr <br />`�"�,�. .��^'�. ._ __ _ . ... . _ Sup�. ol SI�oe1s and Sewen Hy L � �� � A � '�E S <br />_ ._ —_..._ //_ �^ -___ - _ <br />BY _ .. . �"- `- �'i- _ _ _ . _ __ .. _ _ Inepeclor ? ��„ ��.. ;7 3 <br />