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`I'd�E �I�'Y O� E"�TER�TT <br /> el�h �if Cn;posed 5ewei Connection for Buildin� Sifuated on Lut ----- _- -- ---_- f3lock - : == ----- <br /> i. <br /> vision or Addilion _ — u ' � -:- - -- 1 --- -- --- (� Qt - -- <br /> � (I <br /> � <br /> �.-L_`r�= - z --�. _ Ownedby � - ; .at.L.h -- --- <br /> �/�i r � ) ' - _ �_ <br /> pli ation and Con.7ection by _ � i J �• i. _ �____ __ _ _ Licensee <br /> n;arks:_. -- - -- - ---- -- _ - _— <br /> pth of Sewer at Connection � I I � <br /> -- - I _ _ _ I - <br /> � ---- -'_: r -- - - I . <br /> r I <br /> I � - <br /> � � � <br /> , r, <br /> - -- — — — � ... __. `�i <br /> -- I -- ------ ` .�.�- �. —''-I� <br /> r i <br /> � <br /> , ; i , ; <br /> ; . , �, <br /> , =: <br /> i ' <br /> - � -- -----��---- - � - <br /> —� - , <br /> � �i . � <br /> nnection tnade the -_-- -clay of , - _ -19L� Examined and Approved by--------- ---.- ',SL.-_--- - <br /> .. - .. �%G J n �J � LL. C�Ij tinginecr. <br /> � J -� �t (/ <br /> . '_ _. _ . ._ . —Supt.of Streels and Sewers By ' - -- ��i,�+� _._____ <br /> i � �J <br /> By 4��__ i��_�_ . >__�-:1_t ( �:_ L_ Ins'pec�or �t._ ,L��1-'----.:�%�-/__. _ _- <br />