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2817 21ST ST 2016-01-01 MF Import
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2817 21ST ST 2016-01-01 MF Import
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Last modified
4/21/2017 12:34:35 PM
Creation date
4/2/2017 4:39:49 PM
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Template:
Address Document
Street Name
21ST ST
Street Number
2817
Imported From Microfiche
Yes
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� <br />'��i� CITY C'�F �VEIE�ET'I' <br />Sketch of Proposed Sewer Conneclion (or Building Situated o:i Lot___1-=--L�'- ��"- ___ Block— � u—. <br />Division or Addition—' � -�-� ' •' - - � —"�' — <br />--- — <br />� <br />. = .. 1"' T"� . : _ r <br />No. ' Z_ --L`' '' -'-- --__ Owned by_. „__,- :.i C.• "_ ; Cl ,� __ _ <br />��t`� � ___- <br />Apolicalion and connection by �/'f - � • - �'� - _ Licensee <br />Remarks - --------- ------ - _-- -- — — -- <br />Depth of Sewer at Connection � <br />�: <br />\ <br />,.. � _. � _. � <br />�. <br />-i I�I�I I � <br />Connection made the�—day of �--19�� Esamined and appro��ed by ----=v=-- <br />i � � L _ City Engineer <br />� � � - : � G ' �''""`_,._Supt. o( Streets and Setvers. � J 3 �`.�. � By. �`'' ' ��� <br />/ �_ i% .� -�'� l=�C ��(i:`----Inspector. <br />y � ---- -- -. <br />�� �-- <br />
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