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T�=�� �ITY �� E�TER.ETT <br />Skelch of Prcpc;ed Sewer Connection for Build {�_:Situated on Lot _----�— I31ock_---'� Y� -- <br />Diviainn or Addition_ L _._�.� i :.l��f f�`'<±� ----� —�-- � -- <br />No. _� /� - L.��L.� , % .�,� Owned by -- " �-L ' Is�_._,t..{r-1�-e._ _. — <br />/' - � f � — <br />Application and Cm:aection by._ ! • `j"'� � �/�. ° u �'�`""�'�"�"�`"6`� ---Licensee <br />Remarks: — <br />Depth of Sewer at ConneN.ion <br />�! � -- —I <br />—I�---- — — --- -- -_- _ _ _ -- -_ _ <br />I i <br />— 'I -- <br />_,�., �,},�a <br />�f ��� <br />� 083?F I . <br />'� ' ,�: - f � � r., r,. <br />Conneciion madc the �1 _ cJayoF_'� L" ! _191s� Cxamined and Apprnved by- --- --- �'�"� l�— <br />/ . .. rr...�` : p�/�ily Hn�iueer. <br />�L. __ �� �..,! ' t �__._ � - �� "/ +.-�.�C.-� ` <br />--Sup�. of Siree�s and Sewcr.: f3Y-- -- ;-r. _.-- -+--�*—�.�-+�� <br />' .)...'�. i, ._(,n,r......_ <br />Ry . _� __ �- �- ___—._ _ _ _..Inspector .. __.'.-��^7..Yyn_.�._�.' _/-� —__-_ <br />-- '.�-..`s}...� ,. . . <br />