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�i <br />t .►c�r, �,I t � OF E�TEI�ETT <br />Skeich of Propused Sewer Connection for Bi:'.iin�; Situated on Lot_. '_/ __- __ _ Block___�_ { _ <br />� � <br />Division or Addition--�-=-_' -.:� �t�- __'_% _=��,f-_Ci� ��_'-- --. -- <br />No._-=-� ==4� --�r� -r� `i'�'._ —Owneu by--�-`- .''���'�-�` r' v_ -- <br />i <br />Application and Connectiun by.-- �=-- = i ?_=, �"�'_-- ---- ------ — ---Licensee � <br />Remarks: <br />Depth o( Sewer at Conneclion � �� � � <br />_�o =_���, ---- <br />�y14 +�` � IlJ 1��'\ ' <br />� \\ \ <br />, Y. <br />;-i <br />,�; _T I <br />-,r_�_, � .-,� _ <br />— 'f --- _-- -- — <br />_ _ _ I_ <br />� �� <br />�.._ �, � .�; <br />---.___ - -� ' �-- - :t�- <br />� � � : . � �" � <br />- � —�---�� =--'�'-=�<' �'=-----_- — <br />� <br />/ ��%�f i � � ;% <br />Connection made the /.� day of _ i,��/r�Cvc�+,��c. --19I � Examined and Approved by_ <br />� �:�%G�3 <br />1-� <br />. — . . ../� �y— � -SupL of Sireets and Sewera 6y . _ _ ,. <br />' / � f � . <br />�t,� ,c Z__ .-->>��:��.--ts,+���� — -� <br />,,.w� , .{:wa„���...�. <br />� <br />Cily <br />-=� -�1/�--- <br />