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3017 21ST ST 2016-01-01 MF Import
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3017 21ST ST 2016-01-01 MF Import
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Last modified
4/21/2017 12:16:49 PM
Creation date
4/2/2017 4:46:22 PM
Metadata
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Template:
Address Document
Street Name
21ST ST
Street Number
3017
Imported From Microfiche
Yes
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. .: _.: �.l t � �,i - i: v t:.h� 1 1 <br />, _ <br />Sketch of Proposed Sewer Connection ior Duildin� Situafed on Lol_��� �_- �����;�;_ /.=-- <br />✓ ' � --- -- <br />.Etc:s:� or Addition___ , � "-"------==-'=--� � - �. <br />No. _ � _ / ? — l _'---«_ — i— Owned by--/ �`%_ .� ,' , . �J ��� c� <br />�� > / � .. .- , � r-�---- ' <br />Applicafion and Connectionby--- �� i :s'/ , _ �_/ j . . - : ',- �� <br />— - ----= — ___Licensee <br />Remarks:_ <br />Depth of Sewcr at Connection � I <br />I i <br />-- - -- - I -- I <br />/, -- --- — <br />/ � _ -�--- —�- -- i - <br />� b �/, , ���� _ _ I . <br />_, <br />� ._ �, <br />_ . <br />------ ---- �� <br />_ --- .-- �------ . <br />�• _ , <br />I—_—'---------- i <br />I -------.— _----- - �— <br />,--- % -- . <br />. �j � <br />Connection rr:adethe -_ _dayof_ �_, �- -'_-.__- 191� [xamined and Approved by ` ` <br />( � Il> (��7 o , iry Hnginccr. <br />_._. . . _ . --._ _. ._ -__ _. _--- — ----_Siqil. of Slrecis aiW Scuv r U J <J [3y. _. __ � ._� . <:�.� /i �-rt,�,� �<.: . <br />• — — <br />liy .. _ --- � - — -. . .. .—. - _ - -_ _ - - - --- - . Inspeclor ��� . �. ..y.. . �,—L..:�� � ./ � " / . ," <br />. _ _�.�,----�- -----i�--- <br />�,.w. r�,,:,.,,�.,,. � <br />
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