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TH� c.d�rY o� ��v�R� ► r <br />� �. <br />� r Date.— i`Ja�i �.�jf �%6� <br />Skr,tch of 1'roposed Sew=r Connection for Huildinq Situated on Lot.:�As._�_=�: ��t�° �. -=�C, B]ock--"_` <br />Division or Additio� "r FJF /�f�'�e�F .n T,�c.f� <br />> l � <br />Nu._i�iG'�' Lc�,:�r f.�il�o /�1��.¢,� ---Ownedby—�l!/�'Gi1ri,li�r�sFn -------- <br />Application a�d Connection by 'L ''� r�d�n�'� ___Licensee <br />� ----- <br />. - - ---------- <br />, a?,o � 7 ---- <br />Rem�ka:_/�.�- , ��.}r,.t � % � � ,..: <br />—r-- - -- --- -- - <br />Depth ol Sawer al Connectlon —_ 4 I — I � <br />_.J , <br />4„ � , � � r� <br />�rw v.:..:J �.�..r..._. <br />: Qy�l�'s.�,�.fi:_c�.� d.� �w�' <br />� <br />i,��,� � ,, ,�,y.�.:. <br />�u��. <br />tij•'` V� �f",1. �.eau.uz.c. Rc�:.� � <br />��,1„Fa+ � r�"l.:il.+-t.- G�+..:.�.w <br />r �� <br />� �, <br />j ,� 3 � <' <br />✓ � � <br />Connection made the_ � �� day oi____���u^'-* <br />_.� �.�� <br />� '1 <br />�I <br />� <br />_^� <br />_19l Z. Examined and Approved by_ -f•1 V' ��'����� _ <br />c r, Cit Engineer <br />__— _ <br />f'—'._-------'___'____ Supt. o! Slmclx and Soware B �/ � � <br />y—._______— ' ' C.u� -n <br />, � . i <br />Hy_____._ . ____�._`__.—___..____Inepocto� .�y�.�''�,�... <br />