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i <br /> -�t� � �-i-r�� a� �v��a�� , r <br /> Date � <br /> ` ! , �1 ��—= <br /> Sketch of Proposed Sewer Conneclion for Building Situated on Lot— - -=---- Block— ' -- <br /> Division or Addition--- ' � ''�'� --- <br /> 7 �. <br /> _.c4'�� — `��--�' - ' , , . - <br /> Na— - Owned by- ,-., .. :._��_ !� �. .,�. <br /> I <br /> Applicalion and Connection by 'r�' �� T' �� ' � "' — —Licensee <br /> ' ., ( <br /> Ram�ks:__ f• �- 1��_._�-,� I-r , • r . <br /> Doplh ot Sewor at Connocllon I I I � <br /> - i (: . .r!•' :JO I <br /> �. <br /> .� <br /> � ��_� � <br /> � � ��, I <br /> `! f � I. <br /> . j <br /> - � <br /> r/�'r e .�.. �i . ' , r L..� <br /> . ,..j ' _ � � I 1 � ,. :�'.1 �f• r I .. <br /> — I I <br /> . � I � <br /> �,./� i� !-� ;i � . , <br /> �'*s�b� 19_2. Excimined and A roved b '� � r'' '=' ' '� <br /> ; Connec6on �do the-J UE_day oL__Q�. --� P�' Y � r, City Enginee� <br /> ; �. }� . _�upl. of SlreeU and Sewera BY_——��•.5�:�=:"�r�����`d �'l• _ <br /> L � � � <br /> ey_ .---_��„pa�,o� 14 411 <br /> � If�M1��.��f�lll�\A�LY�t0. ��ill <br />