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TI-IE �1TY OF ��fERET'i --� <br />, <br />Date � ti f:�J, � v-1 4 <br />� <br />Skalch of Pxopoaed Sewer .^.onnecGon [or Buildinq Situated on I.nt—! �� __ _ Block ��� ^� �� <br />Diviaion or Addifio�.—��Lt"�`: I;�;•/_� r'{t/y' : �./�f ✓ . � • :��` <br />/� ' �.�r� ��•! �- 1' / i <br />No.— 7° �j� " ' - ---Owned b .�L��i (r`. /� ��, `: :�1'/' �41�/ <br />.,Y.-- '_�1 �2 _—_L_ <br />� y. _ <br />r ��';= ; '' � ,' • '' ;,, •,. , y. �n <br />Applicalion �d Connec6on by `__71"-• � �'� i,i • ----------------_I.icensee <br />/ i } •�i <br />Aam�t�:_ �' e i�� �l,:e s�: i _. �: . 7. , ; '�` �'�%— — -- — -- -- — -- — <br />Depth ol Sewor a! Conaecllon <br />�.'%1'�bliLa.�^-`-' QwC. Y <br />� � ' I� <br />� `-'` <br />�� A�� <br />Connection made the ��__day oi —_--�-eT:<-%ti __19.� `E", <br />--- �!—+�.!! i�'. �^r.]_•_ ._ Sup1, ol StroMe and Sewece <br />B �� 1 <br />,r- <br />Exa.�nined and Approved by_- �' �/ f r���� j I— <br />J `• City Em)ineei <br />��-� i� ,�.:. �.;� <br />By. —_ _...— __— , -- <br />y____—_ _�—'___ ____ ______ nepeclor 1 JU U v <br />•r:...r-`r'.� �..� . ...��. �o . <br />