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THE , I-Y OF <br />Sketch of proposed Sewer Connection for Building Situated on Lot._ <br />E)/ERI, E;';"�`P , <br />DatL <br />y - _ Block <br />Division or Additlon___i-JL/ifY44-�------- "-- <br />No.- /3/ D _tea %• —_Owned by----- <br />�, Licensee <br />Application and Connection by�J--� <br />Depth of Sewn Of Comeonoo <br />r <br />Connection made life / 8 _-_day of.._ <br />i <br />r V/ _ <br />o-Y .19L-Examined and Approved by_./r ` cry Engineer <br />'�'..,''���''�('�/��[�. . 5upl. of Streets and Sewers Br-- �� <br />By�. , `� Inspector 24334' <br />