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0 <br />THE CI�'Y OI�' EV���.E'r7�' <br />Slcetch of I'roposed Sewer Connecton for Building Situate:l on Lot______________________________ Block________________ <br />------ ----- <br />; Division or Addition------------------------------- - ------- _------ <br />• ------------------------------------------------- <br />: No. ---=-=----'-=-----=------�------------------------------Owned by --------- <br />- --------------------------- <br />: Appliatition nnd connection Uy-----'--------------------. ------_ --- , � - <br />' -----=--- --------_-------- - Licensee <br />------- <br />: R,emarks --------------------------- - <br />• ---------------- - ----I- ------- ----- <br />--------------- ---- <br />Deptli of Sewcr nt Connect:on f I I I I � <br />J <br />, <br />; <br />,I -- 13�-E�"� I I <br />Connection made tlie--- ��-day of--- _�`}' �-'--','_ .nd npproved Uy-- -._ <br />-- -- - <br />� ' 070[� 2 � � a,iy E»n��,��r <br />._-----���'-�I �_- �'-' � ��. `-'___.Sttpt. of StrecLs:uul8c�vers R,}- _.�..— -- . � ----. .. <br />B,y_'__'__J_-'__„___''__ �_"_"_ci__ ____ .H�specto,- . . , , ' <br />