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iHE" CtTY 01=� EVEF�CT� Date ��-�� ��-Y.!`%'� =-� <br />Sketch of Proposed Sewet Connection for Building Simated on <br />� �i , � � � � ;i �_. <br />_� � ''—`--- nia�x_� ;� �:, <br />T�ivision or Addition — � ` <br />� 'i •��/� ��� �l/1�r/i %%Jl � <br />No.� � ��� — . - Owned by <br />� ' � � � --�-> � i � Licensee <br />Applicacion and Connection Uy <br />j`,�ro tr� , i ii� i�r � <br />Remarks:— <br />Dcpth o( Scwcc az Canncttion I <br />� ��;,; ; �._ <br />�.���I i ,r�� <br />I --- — � I � <br />�,/ C <�;�,--� <br />._:_ i <br />� <br />Connection made the---day of <br />6y <br />i: nooe. e.av.ao eu� env> <br />of Scrce[s and Scwers <br />__ i�s��«o� <br />� <br />- ;;.�. . « <br />Examincd and Approved by `—=-=--- anE�s�� <br />: ;r ;``%:..;i-; -- <br />a�'--�—�--------j---- <br />34324 ___-- <br />