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Date L 3 A v G G -?— <br />Sketch of Proposad Sewer Connection for Building Situated on Lot 3 re __ Block /i Ot 77' <br />Division or Addition- -- - i/ r2 �= % C2 E A 49 C'T $ <br />No.-- = (5 a/ 6 -/Z P Owned by I C <br />application and Connection by _-ICensee <br />Remarks:- / 6 11 G n E re/ /-7 <br />Depth of Sewer at Connection <br />%'C1cH l9TTdCHE <br />tf. <br />n �ev�v uJtLa •- to b 14 <br />4ll UZ.Ji, <br />I <br />Connection made the--'L� day oL_ 19 Z. Examined and Approved by U. C—GL_V t a/ <br />7 Ctty Eaginee+ <br />- -Supt. of Streets and 'Sewers By— � /S_t:L/� %�'fl t N E G <br />BY -- - -- ------In.pocinr 20195, <br />