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<br />- � TH�' ..:1�1"'�� C�F EVERE �"T ���
<br />� Date /�11�b� �,,
<br />//�J �"/ / �
<br />Skelch oi Proposed Sewer Connection tor Buildin Situated on LoL_.7 ��CFr?� j'�[, SL�'__ Alock___.� ____
<br />Division or Addition_ _—,r�,�'?/(�tuJW��. .�e����.Q(.CYI_� _—__ _.___ _ __
<br />, � �,� ✓ ��/� ,,/ j� ..y�
<br />No.—_��U%._ �/�,fn/!`v_f��_LCil7p" — - -- _Owned by _-4L:Y<<'u�E.-���"�C. --- -----
<br />/fj , � ,�
<br />Application and ConnecHon by—__!/�l�_G?741/Z� ____ ___ __ . _ _ -_ ___ . Licensee
<br />Aem�ke:1 ��%�1r� _� ��16 -- — -- -
<br />Depth of Sawer at Comeclton �
<br />�n o a�,� ��.. � . _
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<br />.u...���_ ,e,., Q,..:m.�. �.A„�,.ti
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<br />�-' �o,,..� � 6 .� a�
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<br />Qcx>-�.. � �.%-�r �,�,,.,�„��. .
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<br />� �,� � 6 ,. � ��..
<br />.�.1 (2-�u-.uc, C„-wt.u.cEc.. Q1�8c�'..
<br />� .�y�.....�..� ..6,.� 711s�tl,� tG.,.,
<br />y..'� (� SJ N.5 !'.,:�.. � (�.<,u.+.�
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<br />,�t,� p.rw.A �.
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<br />I,;;.-�. .� � � ��
<br />Connection made the ��� day oE _
<br />- -- � - —__
<br />BY l ;�°ti`y .
<br />� I �
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<br />I _—'__ J_
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<br />-_I ����i ---�c�
<br />�_...._,.e,.y�_ l` .�'� �
<br />C�l�6'�-� 19 ��. Examined and Approved by_ -/f� V L,1 �✓%1 '�_ .
<br />Lj Cily Eugincc�
<br />... �JupL ot 81rc, i:. and Sawece BY' - . —. ' ��p/4� --
<br />mepecio: ���j:j" ---------------
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