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THE (...iTY OF �`JERE"n r ��� <br />.J`Ur7o �/ /�f(�'¢ <br />Date— -_-- —�— <br />� - <br />Skelch of Proposed Sewer Conneclion for Suild'ng Situaled on Lol S �a� � _ Block --�- --------- <br />� y- .y � <br />_ �-�t'iiV e J� L'iV � _ - - — -- - <br />Division or Addition_ � —� �- -- - - - -/- � - ,r+ / <br />� rnA7wi* !�. �Fii�rtD�'i _ <br />(, �' . _ __Owned by } --- <br />t �;' �J ,., � - -- - - <br />No._ _ • - <br />��Fs_ Jii L'/ �'_ ���: + y>� . Licensee <br />Application and Connection by. f _. <br />Remcrka:_ . i � `'�R�'''' 'f- --f'�cc-� /y �%� -9� _ — — - - - <br />Deplh ol Sowet al Comotllo� �— I � I � <br />J <br />lr �' �° aiw� to b.� ki..��C��,� <br />�- � ��.:�, �.�� <br />, <br />�, t ,��..- �«.,�-�� <br />y '' (j , • i-J, °Le�c�u.Ei'r�. ,os K � <br />-- � <br />� <br />, � <br />I- <br />,) _�� c l. ��_:. �i�.a_�-- <br />- i <br />� �. <br />�� <br />C <br />J <br />II � <br />�.\�1��- ���'�y'�N/ �,`�,,CG-6L <br />� V n�-�.,� <br />V <br />v' <br />tq <br />Cunneclion made the. � � _day of <br />i � <br />6y � �' , �' �� �. �. <br />-- -.C��� � f _ - - --. ` <br />I- <br />�; <br />I <br />---- —.. _ - i -- <br />� <br />� <br />I � � <br />�.LLi1C_ `� _ %II ( -i,•� % L' �" �_ _ <br />�� 19 �- . Examined and Approved by_ �; Y,, ;�� <br />1 .- ��/ <br />Sai�.� o! �I�ce!s and Scwc�e By .---- ---Of _—`/-C�� <br />;:,�,:,,_:.�. 22G��� - -- - <br />