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; '_ <br />�:� ; <br />.,:,ix �� <br />:�t'`d <br />��L, <br />a.o���%��'��f HE' C� i Y C��F' E��ERET ,;. <br />� �'�� �, ' < <br />° 6 ✓6 Date � � � � � Z <br />Sketch of Proposed Sewer Connection tor Huilding Situated on Lot__ � U�___ _.___ _ g7ack—_.' Y_ �! �,�__ <br />Divisiun or AddiGo� � _� __�� 4-_� �% S�" (.V 0 U l'_1 <br />No.��C7���_�__�Q L 1 Ei ___ ____Owned b J O 1.1 }-� 14 M% 1.. T 0 OV <br />Y---- -- ---- --- <br />Applicalion and Connection by �'�r_ �� Pr C �� _}�.Q t S E l� U 1 C E __ Licensee <br />---- ---- -- ----- <br />o C > �., <br />ae��ka:_t �_-- r E z M i=1' �_ �_L0 �-- -- ---- <br />Deplh of Savier at ConaecHon <br />S K�. Tc H AT'r'Ac <br />��i � <br />�y _c i'.r«-- ,d <<���_�� <br />���_, � ��<<y <��_�. <br />� <br />�/,. �.� <br />- �h� �`d . C ati<<.<<.tL . .. <br />6��/�� <br />l <br />y°•>�c i I ���'� t � <br />� <br />r�� y+ ,; <br />: <br />p�° , <br />*',s � �_ i <br />'�i�� �� �( J � ;� <br />v�Ut ,t..cicd �(-��tJ /�, / � �c�cJ_', <br />/ <br />� 7� � I <br />Jv-- : �C�.,,l�_.. �"i C Lf/l� <br />Conneclion made the: _ __day of. ._ � _ j __ . _ _____19=. Examined and Approved by___�.�%___� _ _ <br />n -- City Eaginca <br />- � -- ---- —" — --.. - . - . ---- -- - - -- . — Supl. ot Slmels and Sowe[e Hy_�_ "� � .���� � �j <br />Hy _. .. - -.—.___._._.—.__..__.._. ...._._...lnepector �OS V � � _____ <br />