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T�--IE ; �:'rl'' �F' EVERE _.. . . <br />Date���_s%�_ �'_ �0 7 <br />Sl:elch of Proposed Sewer Connection for Building Situated on Lot . � ___ 131ock___ 3_��_ __—__ <br />Division or Addiuo�_� L_(� �._SlP 'v_—X — _ -- — <br />No.—�U �—_�Sil /-1 � % - --._ —Ownedb ���_N_-1 � _�UO � ___ �'G .fi 7f_ /� <br />Y---- — ----- <br />Application and Connection by_ ��_�/ �- �'U._� 2 � ��.G,��L__(,,,� .__ _ __ —__ .__ _ Licensee <br />+ ���J SG [�.1 T( �i_ ��i�J�1�_✓__,�'L 2,ui i l__ ��_ //j63-- — <br />Rem�.cs:—_ .� ---- _ . _ — - - — <br />Doplh of Savio� at Connodlan — I � I � <br />J <br />,�/'' ,�-��c.�_ n..e!i�.r- ,.�...s,. . <br />J <br />�.'.lfcL ��-4.Ur�'W �L� � �LiL2i C�_ <br />,.�a�C.�'ix. ,\ �"yRp,1' Cx-'�%- �-5�- /.5 � � � <br />, .��� e� <�c+e.t�:-u!- 2�-�_,.;�. i�2r.; (/� <br />�. +:iia-u%� �-lu�.�-e.cL . <br />t.l�t. :n : <br />? � � 4 � ,_'s-u,�a.ti. ...� — <br />,=�.,... CLe-ta.itR-� /.7 � GU�a.r '� <br />! i:u e.t r_ u ��- w,..i� �� <br />_1�C�ti-. 1� <br />,' ) o-ciM, ..v g�t�l,�.��r c_�; �:.:-�. � <br />�.��w ey f t I <br />1 <br />.c' <br />/i �, , �. <br />, /' <br />� ,�3 /J � E 2 � <br />� <br />Connection made lhe. ��'t��_ _day oE__ _�u' `"':'"(—_ _19 �-�-. Examined and Approved by__ L, �—C G�' v_� � <br />. - City Engincet <br />_� n / � /` �7 <br />„_�s..N-�� :. =_ :/.., I gi��1. ol Sl�ee;s and Sewae By- �..'` 1...'/_�l—_�. _f!1._� �C_.:" <br />' . .___._. _ _ I . _ . . <br />` `' i �.077�7 <br />Dv. . - �.' � ) .. Inapecloc �) - '_--_ —'._-___.._ <br />