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�� THE �.�TY OF EOlERF_". T �� <br />' � Date— ���� �-- <br />Skotch of ?'.oposed Sewer Connection for Building Situaled on Lol � � Block_ <br />�/���� �Q�f - - _ _---- <br />Division or Additio� _ P�]�w`�' _� ��� _� ____ __ <br />No.- � %0 � ' 3 �'S� ll--- --- - -Owned by �V�/'�_ //n���-l'W1.1�.- <br />"y�'�' --- /1 - - - - <br />Applirntion and Connecticn by _��` �� _�� 1 _A__,___ _ .___ _ . _ _ _ _. . . _ _ __ _ _ Licensee <br />Rem�ke:_' c!-_":_ ^ � �1 �yy�-- -- - - - . - - <br />SS - �. 1�� - -- <br />Dr•pt6 0l Sower al Comectiov � � S C- 3. %j �—� � <br />I __ `Y � <br />�--"_ --__ _ —'._—' _�— <br />y " �� "(a 6 ° �.,y„�e'�__ <br />A.t �� �.u�.:c� ,C�.;.� <br />I� , <br />,,,/ �-(..� M� 4-=1. l.� • <br />y�� r�.r�, r����. �4�- <br />�.�.r. � ;..��_ ���� � <br />� <br />�� � � <br />Connection made the. ���_day oL _�-y ._ . 19�_' _� _. Examined and P.pproved by_ .�s_ V�� 0 ✓//1 <br />Q' 9 �.�L,�� <br />7/y� f�'�ry Enginccr <br />- .- - .- -�� . _ _ _. Supl. ol Slmeta and Sewe�e Hy_— . �d.�^L�✓✓�/� <br />/ _ _— ' <br />BY �/l_.� V�' inepe<tor �J1�O� . . _ __.—._ _— <br />