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�f'(-I E C.IT'Y C� F' �C\/ E R E' � T` ;,�`� <br />Date ��":—'� : : � ¢ <br />Ska;cl� of Proposed Sewer C�;nnection !or Building Situated on Lot : S�� '�.�����_ ��y-�G Block- '���� _ <br />:' i ' <br />: ,, . <br />Division or Ad3itior�--- '� �,.,.. , , / _ : �' = �-- -_ -- - .- -- - ---- --/-- — <br />` "- �� � �/�' ��� - <br />No.— ✓�C �( oi.'. Ei:, � —_._—Owned by F-�i: _ �. <br />-- -- — -- -- --- <br />A lication and Connection b �f "� �'�' ''f ' Licensec <br />PP Y-- =-- -- -- -- - - <br />'�'- !_7 <br />Remarka:_ __��� _v �,_�. / `. _ :; - - - -- - — <br />Doplh ol Sav�o� al Cometllan � I � � <br />S'o <br />�f I <br />--� - ----��-,���f-�- ,4✓�-- 1- <br />=j����/F•= �LL (_�.h'..i <br />� L��'_:o�C I :�'(- <br />i' I <br />� <br />_ � �� <br />� <br />.. II. . - -'- __.._._-__ — __ _!� . <br />f <br />� / / ` <br />a(} �(n � '_"_ m <br />' �n <br />C \ �, . <br />II---- --�j'e FFE-f.� F-,�'-:� 1 E� -- - i— <br />� � � � � <br />/ �' i ' <br />Connection made the. `- __day of ;'� 19.__ _--. Examined and Approved by_ ! -"- -' ' <br />. . � F ��(%ty ;'ng�eer <br />_ _ _ . _' .' . _ _ _. Supl. ol Slmels and Sowc�e DY- � - -... - - -�-�- --� <br />gp -. . _ / � Inoyucto� G G J � ti . . __ . .. _ _ . _ __ .-- �. . <br />