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TH E t�...1�I f C�F" EV ER E". T � <br />na�a�= ;� _� 1 �—, /-� � . <br />Skulch of Proposed Sewer Conneclion for Buildinq SiWated an Lot ._. _ ____ ____ ___ Block____. �� <br />Division or Addilion�--=---'��°-':t'-( --'j'�I`.i�7-'- --- - <br />No. �_��'-:. _—. � f— i ' � ' - _- --Owned by ��/__�-'!�_ I���_r. 'r ,:' , � i.i7% •.'/ �i'7 • <br />j �( - ' - ' =a- - - - - <br />Applicatio� and Connection by'� %`� 1 !-i* '�' %� /, I �Z�1�]�l l� Y �{ �-"_t�yy / ��� [' , _� _ _ Licensee <br />% �f,� , . ... <br />--- <br />Aom�ke:�=---1�y1" � N l �-� �—'- - - -- <br />Doplh of Sawe� al ConnacUon � � . _. _. __ _.__� -_._.___� <br />� � �$,,.,�,., �.a. e,.. 171`-�0��---- <br />(o �cwtti � .�.v� � ,�n . <br />.2-0 2 � � �(� � 36�-` �.F,ue4 <br />h� <br />nvta,H.�-C�� � o' 6 `' ,�-c.Q��- ,a,�. °1z, <br />F�v�; ;�c-�cia _°� <br />�r' �.:. i� � OGI� ll' <br />i�.:. c_ �a '',1"1 <br />L <br />d'' �2 5�1 c s A.,� �,�¢�u;y—�— <br />(1.-/I.G.VN . <br />� <br />W u.�-+ ' <br />!�F'� �NV �J-tl� 7� ' I {� <br />i .�� ` <br />1` <br />— -------� <br />='�_ �E-; :_ � . ���,t n <br />:,,�,.--.�, .,,. ,',= r���T <br />1 �- ...i� r 1'\ t. _� _..� �, 1 _. _ I_- <br />�V\ �1 � �� <br />� � `(- � w�• <br />Connection made the. �_ � . -_day ot. _ �' �'1 � • 15 V �. Examined and Approved) by_ _( \__ ___ �1' �: '_ _ <br />� �� • ' Ci� Enginccr <br />=/. :,, ,.. <br />' ---.--. -. % --. - _'.— .__.___.. _ Sup1. of Slteele and Sewete Dy_�C ;�' ' - <br />BY � �t�y ,-- - - ,�spo��a� 2 3 6 8 4 — -- <br />