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1�t�� CITY (�F � ;VEI�E'�'�' <br />Skcich ot Prop�sed Sc�vcr Cnnnectiun for Building Siluated o;t Lol_ __ ___ �li��ti--- . <br />f • _. <br />Division or Addition—.'t ------ � i��r'; , <br />a.�. � -�-- -- - - _ - <br />No.�-p�� L_— `- __Owned b�� –�– ,:` . , <br />- `"" <br />Applicalion aud Connection by.___Li � ' . % � � � --- <br />� J `��- -- --J-- - -- - - Licensee <br />Remarks:_ __ <br />Depth of Sewer at Connection � I I I <br />�= <br />� j <br />i � � <br />� , / <br />Connection made the_�C._dayof__ _._1911v Examined and Approved by <br />07416 <br />- -- . . _ - - -- . �-- - . .Siqil. of $Iree�s anJ Sewers B � <br />- -- <br />---- <br />-- ✓ 5 _ _, �_ __ —.- <br />�Y �--- --� , /�ii'r".�.r'v Jnspec�or ,/ n . . <br />G--- - -- --- - <br />,.. ..�^+W �,.�.,.. <br />� <br />c��y r������«�. <br />—/- <br />