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THE ,,:. 'i"Y UF EV'ERE . � . +% <br />Date . _ // 6> � <br />� <br />Skalch of Proposed Sewer Connection for Buil�ing Situated on Lot�� -.�_-�-_______ _ Block-__� . <br />��� I r;' - <br />Division or AddiHon----;L- �-t'_'. -,�-Z�'�ti__> -� --- <br />..i-. <br />� <br />No.—_� ��-�!_��/�. :,.,_��_ —Owned b �n"��f . <br />�7.� �,y�.,¢ y' '21"�----------- <br />Applieation and Connection by—� /,�"� ' (��+% t �7�^�.�T ',. _ _________ _ _ __ yicensee <br />o. ;' . — <br />_ � _ <br />Rem�ke: /���- i' ''r'r'• •-� � ���'ff <br />Dopth o( Sewer ut Connectloa I I - ` �_r <br />"�J i <br />y" '� 6 �� .� <br />�,����.. ��-_ <br />� `n o-� ����c, u�;,�. E' <br />%.��-�� .��„�-�.J . <br />`�'`' '\�/�.tXkliW�/ f"'�Y••lt�ll \ • <br />� <br />t., F.swa:�-a_ O�h4.C,�. � <br />�-� �°.�. ..�.�. �-'��..:-+�.,.�:-�i <br />r,�(u�c,x�. .�,-wo_�. c4.Lc�:�,. <br />0 <br />I� i�i.i.2-4:- �a-L�.�-Lt.c... <br />._ .'.. _ �.. - �� <br />�� � <br />�onnection made the_ ��_-_ day of_ n����-�._______19 ��_. Examined and Approved by _�•� LS �� ��� _ <br />� f � f� � Cify Enginccr <br />'—_ ' ".. _ _ ._. .. ___' _ <br />___. Supl. ot StroMe and Sowere By_ �+�'r •/_�. �� <br />, _--_- <br />�y , •f <br />BY--. --��''lV��.CS/_� .___ ___Inepotb[ ' __ � <br />21048• <br />