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1'1-lE C: :"1( �F �lIER�T'_ <br />na�a—�:��-_� � � �� - <br />Sketch of Proposed Sewer Connection for Building Situated on Lct. _- __-�_._ __________ glock_ —_ `-% <br />Division or Additio�__�_ � � _ __ _ ____ <br />No.— -- -- ' — — _Owned by_ i /� �r- /- �- i_ /4"-_.�_" - -- <br />�. <br />Application and Connection by_ �-!- �_____ _ _ __ <br />Remarks: (� �- ' _------- - ,' -- <br />_ __--. -- �--- <br />Dep1h o: Sowo� at Connedlon I I � <br />; - - ?; F ' ,� � _.. _ <br />r l c L <br />�y ? _ r �, - <br />� � y� � ,; <br />�, r <br />f� � � � � • <br />, � B ;,, � �� ._ .., <br />e <br />� •J <br />� � ��. <br />• .. L � � �' ;�' A` � <br />' . � � {� ' � .� <br />• ' � . C\ <br />L _ "�+� <br />_.S! �. <br />�' � <br />. � � � ^ �n. <br />! � ``' <br />• . � ��Y�,y i `�� <br />� T <br />� ����+ � <br />+ + d� � <br />.4 <br />� <br />� <br />Connection made the_ � _ _ _day of <br />f ' ' <br />. ' <br />I <br />�� 'p"L'�"__-19 � /. Examined and Approved by_______ <br />�upl. of Stcoele and Sewere B _ _. . T� � - � ' � � �� - <br />y—.._ <br />- _ _ _.— _ _/ . —.. . <br />— . - — _ <br />By--____ • __.�f ___ ____Inepacto[ _ ._ _ ___- <br />� /� __... --___. <br />wQ�c u ene �.o u�� � vucu� ce. �eon �`�[ 1� t3 <br />—1.icensee <br />C� <br />Cify Engineer <br />