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� <br />� l'f-iE C.IT'Y C�F �\/EREI f <br /> � Date.��4 �Z� /�/a ,r <br /> Skelch of Proposed Sewer Connection tor Building Situated on Lot_ �- �� "�� r"!'i- <br /> / __ _ ... _ - <br /> Division or Addition- -_--ih°�1u rs%`-- — _--_ _ -_- — ---Block__ G - - <br /> GG. / F' �F• .isa„ p <br /> No.— -- --- --��- -- —Owned by. --2_aJs_2/'/_ _�nvi} -- _ <br /> Application and Connection by----.�/�`/�f�i� �+� S�+'• � _-------_ . _. ._ _ --- --� - �- <br /> : � nu <br /> . Iiem�ka:— — ---- --- —- --- - - -- — - �u~ Rec. ,"--� G f 9 <br /> � Dnpt6 of Sawor ct Conneclloa � I — � � <br /> — � ��-/�r-�*'�-.i-r--Ar.r-"—�— <br /> �� Ce,.,,.._. "f. (, � -�w� �,�' <br /> S�'�. � ` �(,-c�� l�-�- <br /> y-" C�: 9� �_s�'�. �.-�- <br /> � <br /> [ p � <br /> �Lea.�.�e..,��w �h,e-u.�.� c�,�.u.�.�� —� — �, <br /> � � <br /> �. � - � <br /> i � �� � �t �� <br /> e� � <br /> _ i � I � <br /> : —q --� ''f/G-�`=-;T=� � � <br /> � � /� � � <br /> . Connection madc the.��'_ '-. __day of _. �"1�-�-��_. .lff _. Examined and Approved by_ __�� �V�._�/L':'�_ _ <br /> U ity ngi���}}}'''er <br /> ..._ '-- _'_ _ <br /> - � __ Supl. 01 Strects and Sewere Ay_ _ ._ __ ���� ��� <br /> _ __ _ <br /> � BY- - Inepoclor ��L"� .�. .. <br />