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- . Tt—I� Cil Y c�� �VERE'T�'T��' ,� , - ; ,,. ;:..
<br />Dato _ _
<br />S}:elch of Proposed Sewer Connecfion tor Builcling Situated on Lot._'�%^ 1��� '• �`_:_ �/' '� `IIlock_ �� _
<br />%..7i.• .;..
<br />Division or AddiGon.1_ --= �' � - -
<br />.��—����� .i;;� Jnr::f_�^L�^r
<br />/ r.,
<br />� � "�� . , /. ��
<br />J,7 •"i': 3 - t� vl�% ^ .f "�° � � .' Owned bY L ' � � — ... _ _
<br />No °' ?,�r•�-b—;;•- , '-":-=�'--`'- --
<br />- r..., d+� �5;.'Js_nn/��r�'
<br />/;i-•i,�7�/i�l:...];�a��; r;t.S� ,....,,-� ---- _.._.s.icensee
<br />Applicafion and Coar:ection by� , ---
<br />�._ _;,.�
<br />Rem�ks: ---- _ , . ..,; ---- -- --
<br />Doplh of Suwor al Cormec4on I I � �
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<br />Connec�ion made tho_----..---daY
<br />at Strocls and Sewere
<br />DY __ 1n�po�o�
<br />�„_ ..,�.,,,,�.,�o. 15GU�
<br /><F ;�
<br />Examined and
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<br />� � I City Engincor
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