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, <br />THE GITY G�F FV�RE� �' <br />�. <br />Date- / o� 3 j /�H � <br />Sketch oi Proposed Sewer Con¢ection !or Huilding Situated on LoL J, l-3 �� 4 _ __ <br />L - ,.,. i! D.: .�l <br />Division or Addition- - -`- -- . -.--__-c_---_ -----. _ -- -----g/ �IIloc/k�_-Z-- <br />No.--- -��-'_- j � - --�- � - �-Z- - - ---- - -Owned by �� _ _ '(/_h4_ di�s-!' �%�-�-�-CJ/�-E-- <br />Application and Conneclion by.._.__ /�'�-��'���4-+ �__ _ _ _ ._ . <br />- --- -. ..____ . ._ � ---- - <br />d `�' / p <br />9em�ka:- - �� �� - — _. -_ _ _ -_ _ Rea r 1 ��Z 9. -- <br />Deplh of Sanet nl Connoclion � I � <br />� <br />�I <br />� <br />� I7 � <br />Connection made the. ��_ _day of. __ f""���f"�"._ ...19�y . Exnmined and Approved by_ �;_ V�_ C�� � y i N <br />� Cilp Enqineer <br />' _ ____ _ /��` , . . Sup;. ol Streelx ond Sewen By_�.1 __ _.____ __ / <br />��i0�-C ^ <br />gy _ _ . _ �_ . . �/ , Inepocto� 2'' 3 8 �) �61 <br />� <br />