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�'HE :tTY OF" �\/ERE � T <br />iL•etch oi Proposed Sewer Connection for Building Situated on Lot__�� <br />�i e, - <br />Divisioa cr Addition___ Sc ✓,'. �, /� /� ��v /YG S <br />—i — <br />xo._33 � /�/ndis� , ---- <br />Application and Connection by ��' �'✓�i� <br />ot� y7 <br />Rem�ks:—��Y_n.r�.:f %�cr : ; <br />� <br />UaPt6 a( Sev:er at Cormoctton � <br />�, <br />y- e�.,�_�i.... � 6�,,y��a-� <br />d.�' � e�4. p-��� ,Q�-�.,.:. <br />4-' �� �� �,.,,.r- �_ . <br />�I-" R..�, ���. ,��.« � <br />� b�!-u..�.0 c�Ft.t.c:.. <br />�.�:J ; � ,, � 4 <br />,. ,...-- <br />Date �U�/� �_�/ <br />------. Block__L--��✓Ca'� <br />bY---�6- /7YN���.iijs <br />t %/ =' / O J .[ !�c _-- --•'/r/G s �F"�° f /. —�rs . <br />I I <br />J <br />�� � <br />�� 2 f I'a �a' Z 3 <br />� '� <br />' e <br />\'� <br />� <br />nnection made tho- _ - --dQY of--.-- -_-���-- - • , - i <br />• _19_6 / . Examined and Approved by_ _LL ✓ � G ��%� `� <br />I/ , <br />���--�-"��—�--�—..Supt. ol Slroele and Sewere -��] Cily Engineer <br />�\-�y HY—___ ___ �- �l "�i�e�. <br />By_.—__ � -.L!V�^-�%/ _._—_.--_Inepocbr �.1J.liU�7� ✓ <br />