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,: <br />TI-�E CIT� C)F �VER�TT <br />Skelch oF Propesed Sewer Connectinn for Building Sifuated ��n Lot -- -__- Ulnck _-- _----�: <br />Division or :lddition _ , . ��. <br />, : , � �,� .. <br />.. _ — - -- --- - � <br />-, _' _. __` ^_ <br />No._ J _-?_ �-- 1. ' --- --- - <br />--- <br />� ' �. ��.� <br />, .-, =�� i- � _ .Oivned by _," � i �1.���- i'"�� � �-i_ �-- <br />Application and Conncctiun by_;�e- ���� %�•-d � �`� -f --- - — ----License, <br />_ --. _�_ <br />Remarks:_. <br />-- _ ---- --� --- - <br />Depth of Sewer at Connect;mi � I --- -- - --- I � <br />� � . _ <br />_ �:(7 .-"� ,/"':' -. I '--- i � . <br />, <br />, —`------ � � <br />-_ __. .._. . _ _. ------ <br />I I <br />i � <br />�- <br />�'i' ' _ <br />--- ----- � � .t� <br />- ..�, ,�- ._--�— <br />1 -- _ � <br />Y <br />�J - �� - -------- _ � <br />'� <br />� ` � <br />Connection made Ihe i! dayof _ �� . 19L �- Gxamin�d and A �� �,� � <br />� Pprovcd bl' "t�y, , / %i _ . <br />. . -. .,:_.__ �Supl.ofSlrcclsandtic�rc0739f: Bv �.�t.��7 '� �%t17Ut�Lngin}�cc-- <br />. . - � -s -- �_. _ v i t � _'_ <br />13y .. . . . .� . . .._ .. .� , Inspeclar ' . • . r .. , , — <br />