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THE G:'TY c:,�F EV��?F7 ;" , <br />na�e: .;I,,�EX. !/;��� <br />Si:e�c:� �f Proposed Sewer Conneciion for Building SituaiFd a-� L:�L_. � i_'�_ �� _____ Bloc�_.L ' <br />/ ` S f. <br />1?iw�� or AddiL'o�..-- ; '�_�'•_��r�2—. �--Y— <br />i / �0 <br />IJo.-- -- _,-j � � .°1 i—'`G_�,1/'i�r� 'I' �1�---Owned by--i^L��-�'f— f � '=iLt '-`------- <br />Applicatioi. and Connection by_ <br />Rema:ks:— <br />Depth ol Sewer nt Connaction <br />� � � � �•�/(� � <br />� � �: � <br />'Ly <br />� �� J , <br />�}, q ?✓ � 1 <br />���� �P <br />�! ,r <br />� �Z—' i`7 �,. l �.,/ <br />� <br />� <br />�.� <br />� . ,.. <br />Connection mada the_ �1 ___day of__ _. _1 -__-__ .___ _la<—_'_. Examined and Approv�d by..�_,___�_ . i 7 p <br />�T C(ty Enginecr <br />. - -. ----- -- - .___._ .____.S�pl. of Slreele and Sewers BY—/-/T(� ��'f._h"r}��;ay,a� s� — <br />�, � � Y V V U '--`"- � <br />By— �_j�'____rl.i.i._"'.�-' _. __ — ._ .Inapecto[ ._ <br />w�r u e.e..0 �u� � v�car� m. �eau <br />