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�'P�:s �,�?�s°R� , r; ;�.. .� <br />Ti��E C17'Y O� �VERET'► �., � ,_��'� <br />._ � -. Date� <br />Sketch of Proposed Sewer Connection for Building Situated on Lot___ _--i 2''__—.— --. Block _�-- <br />� �. : �! .11 :`..'f , ! �. L �^ <br />Divisioa or Addition—_c'''_! ���_.__��__ �- � -t �' -- <br />n• � ' ' � <br />No.-- i�=-- ( „' � :'..:._ r � � —Owned by_. —;,�._� %_i.�- c`_e1—.,:'� -------- <br />.. �. , � i. � �, �'V." �J��✓ <br />Applica,tryicn and Connecfion by_. __ — --- Licensee <br />p L' , <br />1ii "'� . i .'. _....,' . � � �� <br />Rem�ke•�,_--::_��: s__:.�_,,� �..lJ��_..___ -- <br />Deplh of Savro� al Co�meclion � I — I � <br />7"�u,,��tW.- �. �''�-F,����<- � <br />� r,�,c�.c�, Q�.�.... �3 � ,�a.Cew= <br />,� � , , o , \� <br />t� y �"o y � �••'^- '2�0 �. 1 »u.� <br />fi���;.�.. , <br />(�-�' il� .i'� . � Li.t.t'�.Ll.:_. �J.�tl.�i.t_ �'1. <br />ver_t t Lo u,I �LG.. �J • � ���� <br />J <br />� <br />� � I � <br />. \`' ;. J ; �., <br />//o �h' � <br />Connection made the. —_.—__day of_� %'�4-"%----- -19�=. Examined and A�proved by— •� ����^��--- <br />� , � .!' ..f„ City Engincc+ <br />. .: - . . .. ,: <br />��C-f'��._ _;t�4��<-ti`______'_'__Supt. ol 51[eels and Sewere By �'.-�—j'Lz_='-"'' :"'��, <br />_ — _�— _— � <br />gY—_.."�_'�i''t�._.____.—_'__—..—..___Inepoctor 22J25� . <br />