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v� <br />TH� �.rTY OF EVER�"- T Date__��f,:='��`' — <br />� _`1.7 -- — /F��.,,e) <br />_ Block__.-�---------- <br />Sketch of Propoeed Sewer Connecuon for Building Situated °�A�� -- <br />%� ���/. ��%�� !�'�v -- --- <br />�-_---_ /F GI � _ . <br />Division or Addi'ion_ _-- � d ,S _ ___ <br />/ s�� Ti�nnrar� �i _— ---�wnedbY-- `= — <br />xo.— � —/_--- 4n ,S.R G�.,=--- ------- -- <br />}tpplication and Conneclion by — <br />�;� {�'✓r.���?l 97�F_s - -- -- ---- <br />— �--� ��i��:, r,� ,,. . -_ � <br />DeP� of Saao� al Cameclion <br />� L_-- ----"_ Mfi � <br />- I Y11� T,�,4.,�,q-�_-��---a I <br />C <br />Y <br />O <br />ti <br />� <br />: � <br />c� I I f Ql <br />I <br />� <br />_ LicenseA <br />'1 <br />� <br />� <br />_ `�r r�� ��-f _� ✓_ _ <br />� <br />.. �,� ����„=-- - <br />�OJ,__ _____ _19 �P °. Exnmined and Approved by_-_r---� Y Eng�nee� <br />Connection made the�. —(S --daY oE — � �- ��5 �o..l__�__— <br />: upt. ol Slreots and Sewere By. ._ . _ . -. -- -- <br />_��— .._—�_u�_'_ ,. __ <br />71 ._��`:.t.c..:�f�'<r _InePa:to� <br />Q— —__� _-- � rin <br />B�t.. ..,� . . ,�.: <o �'� � v V J � <br />