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T�,E Cl ► Y Ur EVERE'T'T <br />� <br />Date� <br />L:F�_ <br />Sketch oE Proposed Sewer Connaction for Building Situated on Lot jLG -_- --. --- ---- — <br />� 1 .}. /� �� � �i <br />Division or Addition_�L/%f_�'_t�_._�Y�E� �-----------------Block---�-Z�-- <br />No. _ - � - --- i- -- ----Owned by. r' K -��t ��-- _ - - - <br />�s �a--N- �-1-�= ��,y� r ` <br />Applicaticn and Connection by��_-���JL�--L�-'�-t'��-����1�G-e - - <br />� -, S� r'�=74=----- <br />Rem�ka:__ ����'-f'--"� - - - - - - -- - _ _ _ _ Rec. #� � <br />Doplh o[ So��e� al Connedion � � I � <br />�� /� 5 � �-s <br />o�' II�� � �--7`{ <br />� <br />II,jGt'.��)Iv <br />Lo7.�Li 3 S � <br />�, � <br />� � <br />� � i <br />\ � <br />a <br />� <br />\ <br />-- I-_�,-1 � 5 ;9 i� ' -- <br />1 <br />0 <br />�- <br />� <br />Connection made the day o[ _ ___ 19___. Examined and Approved by_���--l�G�-� - <br />� City Enqinccr <br />' _ _ _ _ __ ' _ _ _. _ _ _ _ _. . __ Supt. al St�ccts and Sewe�n By—/-�-��..—���� � <br />ey <br />lnepocto� <br />