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! �1� �1+1 I �� GY �IZG 1 � Date /`/—'�r� ��'SL <br />Sketdi of Proposed Sewez Connection tor Suildinq Situated on LoL-'_ _%� ���`�' ---- — Block 'r — <br />/� J <br />Division or Additio� __._S.•�2i1? � �A✓� --- - --- y� <br />`J`� '- <L ��� —Owned b .librl f%l�i°r <br />No.-- — �_ i_ s__.. _ Y — <br />1_ /� /� /G��nLiri -- ___ _I.icensee <br />P.�,plicalion and Conneclion by— �LNr�-_ � ----- <br />/ r r/ / .� %!o <br />Remarks:_ _ _. L��/✓/(_ �., ��_ �� q.. lt�r�uf /7J��_• _ , <br />i7opih of Sewor al Cannettion I <br />���t- — ��� <br />!.� I <br />� - - -�/-�-x-� ,� F � - <br />� <br />� <br />h� <br />� <br />-> � i r_ a' d i/F I <br />i��-T` I <br />� � � <br />�/,,� , . ' 7i '';��;ri <br />Connection m e the_ _�� a of. �'�p"-"4i-- _19 �. Examined and Approved by_ _, �•—i— ----- <br />/� _d y �` - <br />/ ,C; Cily Engineer <br />• � _�✓f':'�i��FJr��'�-�•^.— —��upL u! Strxate and Sewure HY-- - �'-'` —�J (v�� <br />B���-V --_ _ P _—.— ___ _— <br />Y_____ __ r, li.`y_r__. . --lna ecfor 14476 <br />wf�� �a.�.... au� � ++.u� ae. ...n <br />