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I <br />� <br /> _ T1�-� E �,.1TY O�' EV�.RE` T �/ <br /> Da�a c`k f i�, .i,.0 — <br /> Sketch of Proposed Sewer Connection for Building Situc�ted on Lot__!��=�T __ ________ ___ Block--_�'�� z '___L___ <br /> / v� �� � <br /> Division or Addi6o�__L •�:'r;::� f <.k rf r�c/. <br /> � �--- — -- -- <br /> ' /� .i/ � -- --- <br /> >/�, ;' <br /> No._.- '� ---- --- — _Ownedby_ � �=ir. .� �� r%7��an., f- <br /> � , �- --- --- ------ --- <br /> Application and Connection by ��- '�«f _��%+k"��" �' ' `°�", <br /> r --------------—l.icensee <br /> � ' ( i I <br /> , �i�c� lU�tl.L �U ij :> :. .,� LF `�%S'/ /1�r'. �� ^ �',: /��•, ./ ��.:�� � ��tu•� � <br /> Rcmarlca:—__ —__ � ';i;, <br /> Depth of Sevror ot Canaectlon ( I � <br /> s�'.'` i <br /> — �.� � ��J/ .S�r � <br /> ,. , �— +"a <br /> G G'�c���c c:�._w-.-... fr �t-yu e . <br /> 1" ,,<+ �--� <br /> . �� __ <br /> �l�tcuL... 76� t�� ���t �:� 7)��v;.ti: � � __I� <br /> .� <br /> �— <br /> 7 ��Lr.�' � �ru.;...c- Ce•.r: L. . �.----__._—_ _ -.�_ <br /> ,. � � • <br /> � � ��� . ��.. A. ��,fcc-_ C��i�•.yx � + <br /> /�' .;:,ti�.:..�." �.U;-��:..r� �:�..� I , ��� jS <br /> i �� <br /> ���I, �-t.l, �. S, �-�ju. �La.�(a,� � : <br /> � -�-a-� �- G.au.� � �.u.� • t. �� <br /> ` <br /> .i <br /> � <br /> :� <br /> ,{ <br /> I '�:�{I " _ �_ _ i <br /> i i._ <br /> �1 I � <br /> �i, / , <br /> � �� �- �'�t` ' _19_��'. Examined and Approved by �S'�, �% ✓;� r <br /> Connectio made the_ _ __day of -_�_ _____ 4 ' • � <br /> �/ --- /' <br /> _ _ t—..— ..�1CL.l.I_k�___ _ _ Ine Supt. ol St�aels and Sewere 9Y.— ___.__ __y_�• /'�C!'Y( G 1n{r i <br /> t I <br /> �� � � <br /> By— .�—____ Poctor I <br /> � ..,, , ..,._,. 1 �072 � <br /> ; <br /> . <br /> ; <br />