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�:�' jt� 'd' TF=E� CITY G�' EVFf- �=T'T <br />Date—T��+' �� �1 � � <br />Sketch of Proposed Sewer Connection tor Buildinq Siluated on LoL -___=_��.._ __—_ Bloc�__— __ __ <br />Division or Addiflon_-_ �=� Y �/ 1 P�l �> ��_ __ <br />y- ------ ---- -- <br />- � .. , o -. r77 � 3 � ,_ <br />No._— �: .�a�. _) r�^ ---------Ownedb .Ju� <br />-- Y ----- r,�1�-� ------- _- -- <br />� ,� � - <br />Application and Comiection by--�-•' � � �fv �' � � _—._________ _. _ _____. ___— Licensee <br />HQm�zke:___� X�.� ����� � A� — _—�yv_/�-� �- —��=1 t��_� _.r� ��, i��=� � <br />.�� � <br />Depih ��! Sevror at Connection I I /� rl'7)� /'t `f�j � <br />/ <br />4�r ,!_ �t� <br />c�-wtit:.�.i�� �o <br />s�-�,�.���.�. ti� �16a`4.,' ��:� <br />4,L,,n , <br />;�L(�Q.., G ,0�-l�u-�� � Li ���4`- <br />�%Q-U-e-L . Z-� I il.l dk 1i �"l.��'L;�+C' <br />� <br />�, y. .c� �u�u�.._Si- <br />SIA.u-eL, .S-�R� ;a_e�.c>�.•- <br />�e�w.�;. �c.�..C, ��o acry,:.r� lt.l,�y�,�� <br />0 <br />�� �2 �Sti. � ,S, �+.-�c�. <br />Y � ' . <br />a <br />n `.Y Y <br />a ! I <br />l �- <br />� I <br />� 1 <br />` 4 � ' _ i ' � <br />� <br />� �� � � � <br />nnection made the_���_day oE_-__ -�ti�—_____19 ���. Examine3 and Ap roved by__ �` ✓ �_v lfV"�+ <br />� �-� �/ ,,.,, City Enqineer <br />.—�LbL ��'L- t '�- d,. �(�L'! D�� <br />�{�—._ __ �4L__—_—_— Supl. af SI�eo10 and Suwe�e Hy_—��._ �_ �-- <br />�} U <br />By—__ CJ � ���'Lfcs.j�_.._.—__lnspector _ <br />.�., �..� .�..<�. <, I 7 J � 3 . <br />