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`i�iE CITY Q� EVEI��TT <br />__ _ <br />--- - ! � � - _ Bl��k -.1,__ �. - ' _ _ - ! _ . _ <br />Skcich o( Proposed Sewcr Conncclion (or I3uilding Situated on Lot_ - - <br />. - �- , ' <br />.. _ . _ . � .. . _ ...__—� _ <br />` , <br />Div�sion or Addiuon— — - — -- <br />Y �: <br />��.�'r _ 1 t ._ � . , ; <br />_ . - i� O�vned b _ `1 _ . - - <br />�•. i -- ------ 3 - <br />No._- 4_ '_ „__ - ---- <br />_Liccnscc <br />Application and conncclion by----s'{ < �'-=i------` — - <br />Rcmar s----_ _ ____.__-__----- <br />-- --- - - ---- <br />-- <br />Dcpth of Sewcr at Conncdion � I I I� I I_ <br />f <br />--_ _ <br />_ _ ---- --- , <br />-� l _ <br />'i <br />- � i <br />� �� I I I <br />Conneclion made the � dny of_`y �9�� Gxamined and approved by�.�-----------'------ <br />� y City Enginecr <br />�,� �' Gt �� �^'=___ Supt. of Strects and Se�vers. O S 3 9 i QY--- ------ — -- <br />� / - <br />. ., �<t � � .: <br />B'y ,`', - - Inspector. _ <br />- J-=, - -- - <br />_. _ .. ._-- -- <br />