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- �"HE ,:. 1"Y QF EVERE �' , w �'
<br /> Date_.�1�..1 I?, �,%'�i�
<br /> /' , ' —
<br /> Sketch o[ Proposed Sewer Connection tor Huildinq Situaled on Lot___1_rnc_I�> �T• Block_ . �Z_
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<br /> Division or Additiot� _:_'; �''�' �!;''
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<br /> ' APPlication and Connection by__,�o��.F--,.. f«�' �R-. ,rls,���o...' (;. .
<br /> : ��. : - —�— - - ---_ _ — - - Licensee
<br /> : Aem�ka: .�i. .a. � �• . ,,,� �S f�.,b Ls
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<br /> DeptL ot S��iar at ConnetUoa I � I �
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<br /> Connection made the. ��_�_�¢ of _ / , , . - `�'`� ' �' '
<br /> Y � `'''"�'`�'�- ._ 19 -_ . £xamined and Approved by_____.,�_��_,_�r �t_� av__
<br /> � u 1 / City Engiaeer
<br /> ' -- -- � — - � - __ Supl. ol Sl�ecis and Sowan Hy__. l.��'. �'/�:^ ! � ;.I
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