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,� TH� �.,�Tlr' OF �V�:RE'_� T _ <br /> ,= nace >�vi�r^ 3 /RTJ <br /> Skklch of Pzoposed Sewer Connection for Building Situated on Lot /�______ Slock__-- � <br /> Division or Addi.Gon—__ '-'' ��T/C ���C _ _ <br /> No.—�.Zu 'S ��"^ �9 Nr _-1l-�'CI—Owned by�L � n .�' �° ���r���i-- -- <br /> . , <br /> Application and Conneclion by__� �' � � ��-'�• I'/"+�'� �' r/ ___ _�.icensee <br /> i <br /> Rem�ka:_—�.;t.f;" "f � /� fi_1�T�. . .�r,-�-- _-------�._s�_��. �i>P f, i✓J � <br /> � Daplh of Sewa� at Conaeclton I ( I I <br /> I I !�o <br /> � I \ _— I , <br /> .<--��+�.Q.. ,p :, �.�:�=�� r�� .�r, . <br /> � � <br /> � <br /> �jjif� ;.t., �% ,' . .� . � <br /> �: ,c <br /> , � <br /> � , ; ;z , <br /> I I <br /> I I <br /> ` <br /> '�;° _ <br /> � d <br /> 1 � <br /> . � N�,J� . f _ I ►'Q� \e+J7 p„ �PwNr I � <br /> : � �.��_� - ,_ " I ` n'� �'n �- �d�iJ!� I <br /> � � � � � / � -- �/ , � <br /> Connectioa made ihe_—�day o�_�k-�-�-�- _19?�. Examined und Approved by �j' +' '�' /f��' <br /> �� ;�. �/� �• C� �, �. �,,/� /��ry Englneer <br /> �� }�� <br /> �{�°`��:��upt. o! St�aete ond Sewere Hy_—�,�fl✓� ��'�'ti= �-�^"1- <br /> By— �� "`•i�,�-t.'L---_In�pecto: C <br /> � ,.......��,�, . <br /> 1610J <br />