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THE G"�TY OF EVERE�""':' <br />✓ ,/ <br />Dete C"'`�'��%/ , <br />Skolch of Proposed Sewer Connection for Building Situated on Lot-G7f �"7' ^� __._ __ Block_ G-'',%f%��_. <br />Diviaion or Addifion—U.=�''- %Y !/�.`/c�' ,'7.?ir!'i,t,- ''��;iL/;_�u.,f/.'�. j C._.�, S.r�e c s-2. _ <br />_ f ..� -d .: �`. <br />/B(,� ��/9��_� .7�..:� Cr r._ fo/� �ci.:c.� <br />No.— ----f-Ownedby----- - -----l� -_-_---- <br />Application and Connection by___. /� • l; �^ fr7r `r� _ Licensee <br />Rem�ka: �� � � . � '' :`L « �:5 . •_. — ��; :„ Jr,. � S� G / I� 'r //, : r' :> r � e � / o f/ll <br />� ' I �.. r � c `�'�- <br />Depth o1 Sawer at Comeclion I I � I <br />�.�! L�� <br />� �� .l,c:''1/� ��(.r' L6-�-�-�- C� � � <br />V <br />� l� 24...f A-�r-a-- I� lYl�wl�t.iu-Q.:. <br />y'.{s�Cu.�;- �,ac.�,nl� k,...,-ce- , <br />/" ' � <br />�e iZ . �1 � C.e+�.�n:-�:., � ?eu�e � <br />Cs,.�.u�.'�.c,Q- � ���.R- e� ,��t�w , � <br />`" !Z•1-� , C.o-ti.c•�� au�..t� iu1�'-' � <br />� Q.�u,:� A-�.,�..._.., <br />" ij� � <br />: N� �1 `� __. <br />J, <br />, <br />� �. _.i: i:;�; f:fi... <br />, �C�.�.��;j - <br />���'tl� i -----.. <br />�_- <br />� .. _ . � .-, y. . -, . ' <br />�,� �fJ � � -� � <br />j , :. <br />, <br />Connection made the. �9 �__day of_ __ . .-��`_�-_ __..__19 G � . Examined and Approved by_ � � �' �� `J y <br />--1-i. - - <br />Cijy Engineer <br />�1�.� --- L r��'i � r., �,�: <br />_ .. -5�— _ �_ . _ _ _ _._. _._ __ _ .Supl. ol Stroals and Sewen By_._ _ __ J <br />((��-''r�r,V' 195$Q ! <br />By'- _' _ - 1�'�`'��. _ . _ . _ ._ . Inepocbr � __ _ <br />� <br />