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THE ( 1TY OF �!lERE" �" .� <br />�•�'Q o'E(J,:n `�� Date �✓ `------- <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_�4_ _/7A/1�!D �_ _ Block__3f.�` _ <br />// <br />Division or Addition_.__��1tP1Q'1l:�� n� __-_ — <br />No.— - '�1' �'�—'� --Owned b ��Clf�-1"F%r1 - — --- <br />Y- - - <br />ApplicaHon and Conneclion b�y_���—________ _.__� yQ+w�_�k�-�_<�--_ . Licensee <br />• •_ -_ -- <br />- — <br />- -- <br />. � ,.: <br />Remm'ks:��di�<'_ �` 3�i�.- -��:_.� M� 1��,• ; s. � �3c 5t <br />-�- �------�-- - ,-(--�- <br />/�:, , i� .� ��,.<.._t� (,� <br />Doplh of Sevior at CocnecL'ou "�,f �•'- 1 '/ � � <br />_ �.�J� ^.L'K i�`ILL,L ,,Cll ��1��r� fI/��1/•�� <br />"��w��na�.=i�-•-- �O y �,�•t+.�,��-: <br />�j• � � <br />/ r � • <br />��� � C � �"..`I,LL �-V-P-�. �j �:..1 {�(: 7" - , <br />-�, ��...' .. v , <br />i�t V <br />� <br />�j�"G�LC.d_i_ cYJ�¢.�w K+'-�C.C-<,L — <br />4��k..S�-� 3 ' lUic�` c� <br />, �.a-tl.�.�4iL:4�L'�' °UG'LGCI'.;� .. <br />n <br />��„x e"x y- y �.-� l�r�L�. ���ta � <br />. � �� ., ,; <br />�-�� �Yl� C`t... .�. � ' � �i.t, LL � <br />%�� � . � <br />Connection //made the__`' day of _- -�'`_��___ ._ __.19- �r. Examined and Approved t�y <br />_ _�/� �'" —���'t� __ _- _ _Supt. ol Sl�eels and Sewere Hy__. . . . __ _ _ ._. <br />By— __ __ ^j i /�. �...'T�cY . __.— _ . . _ .Inepectar 1 f �JU <br />F.. <br />- c�ry cn�;,�«< <br />