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TH� C. 1"Y (�� E\fER�.T . � .� <br />Date---�'%� " <br />Sketc'� of Propoaed Sewer Connection toz Huildinq Situoted on Lot_ �?''� ._ ___ Block_ <br />- ---- <br />Diviiion or Additio� <>_•�T� .��[��}�,rY ��.,,� - <br />, - — --- — - -- <br />No.______t.C'� �'�_�:.���'��Cl±�- - --- —Owned b � ��� � <br />Y- -- D I'. __ r G �' _---- . -- <br />Application and Connec6o by.�i��L���� <br />----_ _..------ <br />, __- � -- - -- - -- � -- -- - --- -- Licen:.ee <br />xam��s:-- — —/_r,�-�= ��,s:y._ ��. Q� � <br />��1- ` -— ---- <br />Dept6 0l Fwr:s� nt Comeuton � I � <br />C <br />,� � ��� � <br />L� L°,.g'Lt.w <br />�.p IIj� 3� � <br />�Q.YC. 1�����"�'�"y ��� L <br />\� y <br />r�a. rLC�„-r. �o �'�'� ' <br />y_„ Q,�a � s �.�, �, <br />�� �ti� . <br />� <br />� <br />� I..,.T 7!'7 c ,�l-:=- - — � <br />(/ � � � <br />�1 G �/ <br />Connection made the- � � �`dav o!_ ._. . ^'-C�� , . _ .19�0.`_�__, .Examined and Approved by_ _. ____ ���,�;(.� �L`l�n/ <br />%/j-� . �j City 5nglnecr <br />. .. ---- '— - � - '_ Supt. a1 Streele vnd Sewen By... ' f�%�L�(� y_.__ �" <br />` i ' <br />/ � <br />BY - - -- /- .SKa..1 _ inepecto� _ _ _ _ /. <br />� 2 3 G 42 - --- ----- <br />