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�I�� CITY OT' ��6TER�TT <br /> Sketcli of Proposed Sewer Connection for Building Sitnated on Lot____�__-i________________ Block______.h�=' <br /> ------------- <br /> Div,'sion or Addition_________ � '-'`�- i� - <br /> -�-------=--'----�-=-----------=---'--�-_---------------------------------------------- <br /> •� ' -�' �, ... <br /> No. ---��--�- ------rJ__Y=�:.s__I_v�tsi_`-�-----------Owned by ---"-=-�-�._--,-"--_�_u,c%-------------------- <br /> Application and Connection Uy-1------------------------=-'--�----------------------------------------------- Licenseo <br /> Remarks ---------------------------- ' <br /> --------------------------------------------------------- --------------------- <br /> Depth of Sewer at Connection I I I � <br /> ; � �. � <br /> � <br /> I <br /> — - '-'�.�— -� <br /> -- ' '. -- , _� <br /> —i _ - ---_, ---- �— <br /> i , <br /> { ' I i <br /> ;'' I ! � , <br /> � ;-- <br /> _---- <br /> I � <br /> � I I . ____ .__ ._ . � ____. . ______ <br /> I <br /> I I <br /> � /� I <br /> Connectiou made the__��_�dn of____(�.�././_______191. ._ Examined and A proved b .-� <br /> � , -� y P �---------------------------------- <br /> , 'f------ . <br /> ---�rJt_✓__��_�cC'_� '_�-� J _____�upt. of Streets and Sewers 060� j City Engineer. <br /> ��By �.s_��!_i_�1?_t'�!�/�1�_�_Inspector. By_ <br /> � -----------��1'j�-�-='j=--�`�'==---------- <br /> / � <br /> ,fi��,fir,, ' <br /> . � <br /> �::. ,.��, <br />