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� f TI-If- CITY O�-�EVEF?�TT , <br /> � Date_ ✓ „i i _ _ <br /> .� <br /> Sketch of Proposcd Se�ver Conncction for IIuilding Situatcd on Lot—_% _ Block_-- � <br /> Division or Addition_�.!��_ r , ' !�= ' ' ` ' , "^% <br /> , <br /> NO. e'� / : ! � ' �- , \` <br /> , ' Owned by ' �!% <br /> r1 , ' I <br /> Application and Connection by Y _ ' ' '� 1 _. _ Licensee <br /> Remarks: <br /> Deptl�o(Snvvec at Conncttion f,.• ��% ' I I � <br /> _— i —= i <br /> - � � � ' " - I <br /> ( ` �� �` <br /> ; ; <br /> r , <br /> , � <br /> ��'. ' � � <br /> �I 1 , . -- -- � - <br /> � � � <br /> � ( ; ,.�_ , , <br /> Connection made the1=_day of—�_'f"` ' 19�� . Examincd and Approved by_ __ _____ <br /> �cn e�c��"a, <br /> — /� � _Supt of Staero and Seuerc I1>' .___ /`'�1� ��� _ __ __ <br /> v , �� ,� ' . — <br /> BY ' � � , � _ Insoecto: <br /> �—_----'__.— ' _ ..__.. <br /> �:000e�e.n.�M�H mrn �G� t�U _ ._ . . ... �.4�. <br /> %/ <br />