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/ <br />THE CITY OF �V�RE�"T .�,� �/ <br />Date � _L�-� ✓ <br />Sk� ..h of Propoxd Sewer Connection ior Buildinq Silaated on Lot_ � <br />-- -- -- <br />A ----- <br />Division or Addition_ _� � _.�G__/�-�+ ��' _B:ock__��. Z- <br />N,. _.��_zo ._ [� <br />- -- ---Owned by-�. �_ 'd��y�--- <br />' � ,r - <br />Application and Conneclion by--__�__YL,f/7�Zlt--_J=_ ___ _ <br />Z �' <br />— - -- - `�. %� 7 _ _" - — - - Rec. n --� .� J�.Z.O <br />Remarke:_ � __ _ _ <br />Deplh ol Savror o! Connaci(an � I � � <br />`I , . ,( <br />--�.hl.J .%-1.K.4 .�...(Yl.v-:Lili� <br />li'.. �� A.�/t.�- <br />� <br />`�_L��"�C'i, <br />C"l. : L���,«`- <br />� <br />�- <br />----I— —_. _� <br />v � � <br />Connection made the_ �Sf__day of _ . �;�V _._ _]g ;S , Examined and Approved by_�t�_ �,� I /✓_ _ <br />( _/� City Engincet <br />-- -. Supl. af Streeta and Sawen By-=['L!/`��'� / <br />BY - . . . . _ Inopeclo� G i �� � !� , '—�t"� � _ — 4t� <br />