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... . TFiE �:e ,'Y GF E\f�a���"�. ,� - <br />Date�" !'-1 .,� i„ ; <br />Sketch of Progosed Secver Connection ior Building Situated on Lot—�- � ��!` ��._ g��ck_ �u�'%, T� <br />�� .� . 7—�— <br />Uivision or AdditiotL.::_!. '�..--�;-�_ '`; r"'i' _ ,,�- F- : /y6�G `' <br />i �^ �' <br />" ! i. <br />No.— �/_.— ' � - �� '.�.�� C i7 , Owned by-- T >`=!'-,1�i�__�i_' ^- � fl/%�---- <br />Application and Connection by_� `L� �� �`�_� i! !-�!' -._,`z(J 5 -----_----- — -- _ _ Licensee <br />-:f'�"� c! ci -- . � . <! <br />, Remm�ks: �� ___ _% �7`- i"' _ 6 _/, <br />Depth ot Savior ct Connucllon <br />�/ /, � �7 / �� <br />f L. FLl�+..4C�%c�- � (o <br />�-')(�C,�,Ct��— Q� ,�c�..l.lt, <br />��1�.�, �,.� � � ,�.� <br />,��.,,�. <br />�: �+�'� iz..�, �e,.�.��- <br />�- -� .�. �� <br />;. <br />�e:-owt�,�' ��L7G� r�aq I <br />� - �-�-�-� --___ (._.. <br />(� ..�-LI.: t-G. <br />Connection made the_ �_�"-__day of__.�� � _ ___�'`J____I96 � . Examined and Approved by_. �� �� < <� � / / i{% <br />� z� � � � - City Engineet <br />- ----�- -- �.._<.=_—���—' —.--- -_ _Sup�. ot �treete and Sowo}e B y �� � /i C� � i% i <br />{� y--_._-.._.__.__ /V �.S <br />j'� �� (� <br />3y_' . _—_`L'_ai__..__" ____'_ _ _. Inepocfor �O(„��r� .. _ <br />:x;. <br />