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T�� ci��� c��� ��T������ <br />Blcetch of Proposed Setiver Connect:on for Bailding• Situateii an Lat__�_S__=__+_�_ _--____s_______ Block______:�__�_�__________ <br />,� - --- <br />D. . . . � : � <br />iv�sion or Addition--�-4---- ==�'---%�=L� ---------- --- -------- ----------- <br />-- <br />1 --------------------- — <br />No. ---�-�`---� -----1J'-r f �--� �1---------------- Owned bv :%_, ,tl �ald_,� f�_ � ----f` j� 5c �.�4q �! �� . <br />------- "� - ---------- - - --- <br />, a , � <br />r <br />i►' sn and connection b ` f '� ' ' ,� "� <br />y-----==�-"-----���_7,.-=a_.r.,��T.----------------------------------------------- Licensee <br />Remarks --------------------------- <br />DeptL ot Sewer at Conne�tion <br />__I � _ � I-- �--------------------------�---- - I <br />� � <br />,. y'c....i '� � <br />I <br />Connectiom m�de tl:e____.___day oi ._ ___ _ <br />I- � I 0815� I i� <br />1�J1__.. Examined and approved Uy------------ --------------- --- <br />City En� nee.• <br />. _ ________________________ __ Snpt. of Strects and .",ewers <br />By..__ ..____.___.__ _ ._ Iu,pecter <br />� <br />