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/ <br />THE t.l�"Y O� EVERE'► T ,, �� <br />Date�--�/ G'¢-- <br />Sketcl� of Froposed Sewer Connection !c: Buildmg Sih�ated on Lot __ _ HlncK_ "—" <br />� � � / — - <br />Division or Add�tion_ _�'7r��-�-_� _��'=3;.: ,y�-S--�_Ste_a�%�d_1Esy> <br />No._ '�_%1. ,;l 4,>. %. n ir !-' � C- 7 r /� <br />` - - - -Owned by - � _ / � _ /' � 't...t�/-J�,`.0 'ti-� - <br />Applicalion and Connection by—�� -�_.�� _.____ _ Ci <br />_...._-- -- -- -- - <br />iJ� � " " -yr _ _ <br />Aem�ke:__/��_-:-_ _�- �_1'' F / f � � _ _.�� /G=—�- __ _ . . _ <br />Dopih ol Saae� ol Connocl(on � <br />� <br />Licensee <br />� ---J ---L� <br />-_—__ - -. �___ <br />, ` �' ---1 <br />Connection made the. � 1�_day ot <br />By <br />!�\_lL'1VB� <br />_ �_. i' , � / , . c.f.! <br />� � �� -�. ,�, ----- <br />� <br />""�'�'�- _ 19`? . Examined and Approved bY__1-:`.. _�' �" L__LL_t-IY _ <br />'�- / � � �.... ( � �City Cnglncer <br />_ Supt. ol Srcele and Se�veo� BYi:-:'�.{f�7-��{_�.�� ('-.:.f��14�-'L__ <br />Inapocb� 4YV�L � . '_ _ ��f _—__-__ "' <br />