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TH� �ITY OF �VEf�ci'i <br />Date � � : _j�,� <br />i_ <br />Bloc <br />Sketch of Prop�ised Sewer Connec4on foz Buildinq Situated on LoL_ -<. <br />' .. — <br />Diviaion or ?iddifion �.J. r,'!'�__�� ,!r �'f ti i �' %t� ��-' ,� <br />RTo. ""__ `�Y � f.�Y j ''`/ Y[: Owned by— ��_1 f <br />Applica6on and Connection by i..�: �� `� �' <br />; i�r�.i;.,.� .- <br />- - -`-- <br />DopIL o! Sewor at Cannectlon <br />i <br />� - ------ I <br />� <br />_I <br />� � <br />Connection made ihe�;:::-__3QY o�_ j��_ _. ____19y1_. Examined and Rpproved by_ f J� ' ��r'i; r__ <br />-- r. VE C:�3' L��.gineer <br />----- -�'— '----Supl. o( Stroels and Seaera By_._..._ __i����y.-�_----- <br />BY—_.._'— .__---'_ �_._—_'_ .—._Inepeclor <br />M� I! OR� /.�� lAllf 1 YI�[V� W. !llll �^� U(, <br />�� U <br />�s <br />