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_ TFiE ,,:1TY UF EVER�";"'T / � <br /> ' Date � � �.�//, � vG( <br /> Sketch of Propoaed Sewer Connection !or Building SIit/uated on Lot._ __/ _�-_� Dlock <br /> Diviaion or Additiot� __ ll Y�_. ��,w�d� Y (t-�c'�,C� - -- - --- <br /> � — ---- -- <br /> ---/— - <br /> � + <br /> No._ �N� � ! �. (�I'• <br /> ---- - i`i'�f--+r- ----Owned by. -_ �• � ? /! S Nf� .-f.� <br /> - y- --- _ -- ---- <br /> Application and Conncction by._ 0 !�/,�O (^'c3� S�' _ 4/ _ Licensee <br /> Rem�ke:—�.�1t-�'_1_�li—_��I'�,.�c. �� .__ _ �l 0 / �+ r�r `� _ / r' <br /> - - - - - � �� °.l�_ � � / 1 (�� <br /> v <br /> Dnplh ol S�ner at Cornectloa I • I � <br /> .J � �'c r�-�, � r�"' lc� �IJ <br /> I ��� �� �ryi��y o ,- ; . <br /> : � ,� —{---�� — �y N <br /> ��,,��Lt..a..- '� -�..� �� I b-Iyp,C - i8d; .. . _ . �—�,�_— 2 T rG�4 <br /> , ,. <br /> P�'"�-� � 6 .l�e�•• ��•��� ` <br /> R:.-.0 !9c' b)n;tG. e� iyr..�..4..-C� / <br /> f <br /> twk� �, i <br /> �• t� � � � <br /> b � Yd ce.:_C�..��,a�.�_.�L/``� <br /> �' ��ty Re:.�,:-, y-" R. h, --� — � / I <br /> '��,.+�L�� � <br /> ' I <br /> A.cu -_� r-`�.. fa '�,c,�u , , <br /> cQ4.a;..... . � j� <br /> / <br /> . �� <br /> � <br /> _� <br /> �. <br /> i . ' - —i- — — <br /> i-- <br /> � . � <br /> Connection made the. �� � _ _day ot _. `�`�-��._ . _ __ _ .19.�!_. Examined and Approved by. �'�.__1,��✓�'"�"'._ <br /> ' __._.__ `_.6-L .��-_LLt-��' '/ Y Engineer <br /> Jp� i <br /> ��..-� � � � - - . _ Supt. oi Slrceta'and Sewen By- _ � __�{���"� <br /> By.. •1..�'l._l..• - Inepoctor ��7V� .____"— . ____'.— _— ___' _ <br /> f <br />