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T�-lE C.. .�l' �F EVEREI" . <br />� <br />Date_ 1 1_�_� <br />Skelch oE Proposed Sewer Connecfion for Building Situated on Lot__/8_. _�_.� %______. Hlock— �'�—.___ <br />Divisien or Additio�F�!•:=�±u,��' _�s, � __ _ _ <br />No._I2� 2�� � �. _Uwned b 41_ ? b nLe�---------- <br />Y-- � -- <br />Application and Connecfion by�,,:�il(r.�-_ <br />Rem�ka: al o°` _1�?���.. 4_�' 13[`��� <br />Doplh of Sevie� at Connectlon I <br />�.�.7 <br />�-,� C_i.u.�.... "tu � ��� d.�" <br />GU.�e.t��-�.ty -P�-,•�. <br />�w �� . <br />c�" �1.�-'J• L° S G'-�'- <br />��� � <br />Connection made the_ <br />By - <br />I � <br />��1 /�l� I�Ch <br />_. Liceasee <br />� <br />� � <br />_�� �day of_-- <br />� <br />!� _19 b�. Examined and Approved by_�.t.y �_ ti9IL � �� --- <br />- <br />--- — <br />/J1 ,�-7 �� , City Engince+ <br />_ �]�o _— __ ._. .__Supl. of Slrecta and Sewere Hy__ . � 52.N___ `-"�ef � �� � <br />/ ,� _ — _' <br />,_ —� -- —`"� '— -- �naPo<�o� 23G35 <br />