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� ["hi� :1TY C►F �\/F_RE ."T <br />Sketch of Proposed Sewer Connection lor Buildiag Situated on Lot�%% ���a f �_ __ __. <br />, ,. <br />Da�a . i �- ;� ��� _. <br />Divisioa or Additio�_���is-��1�. (!r .✓c'., ;.c' YT%�s_.� S ! _ <br />No._ I'�' "�' .__ —,�`% �i-'I S M —Owned b �"_/r/ u � S <br />� �� Y -- -�---� �-�----- <br />Application and Connection by ' <br />r .___L'L9�� za_��_ ---------_-. ---- - - - Licensee <br />Rem�ka: L[�i � ! � ! � l�f� 1 �l'�-- � 14t"� � !"` _ . <br />DoPt6 of Sower at Conaeclian ��L I. �:.. ,.•• „�.I . .. . 1 �✓�,19/ � ni�o D / 0 / � / I <br />�J ��� / ! � �� <br />�.�n G,exr�.�t��e�- -tU'rtZ ,�x.y,��, <br />� <br />.�.,�-i 'Tl1n�ur,. �¢ /9 G z <br />�/ „t.u'�L�.e.c.t-`S" ^"'`' ne.c `� <br />1 v <br />..w-a.�. : vv�a.62a_. . <br />L�vu:�;..� 4y ��- ,P.�,.u-�v <br />�y /q63 <br />� __ <br />! J.: <br />�/ <br />t/� <br />. -7L� . <br />Connection made the. /�-_`'__-_day of_.— <br />L_ <br />I <br />� <br />,„ . <br />`77�laLei� Y i�f� _ v�••- <br />_._ _ _ __ ____19—. Examined and App;oved by__ � �. � __ <br />� � -� �,�,.(-� r/ /`� City Engineer <br />-.Su t. o! Stroeti•nn Sewere B v�'a"7l'`•' ��v�""'"'� <br />__.� P d. Y—__.___' /% .. <br />___ .Inupoclo[ ��`+O� . <br />