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7CHE GI�Y QI�' �V���Lrl'T <br /> --- -- <br /> S}cetch of Propoaed Sewer Connr.ct:on for Building Situated on Lot___ ='________________________ B]ock______ 1______________.._____ <br /> Di��sion or Addition-_-=------------------------------- <br /> ------------------------------------------------------------------.. <br /> , <br /> No. ---=-----�---------=-----.'_--===-�-=-=-'-�------- ----Owned by -----=�-��- �11�----(�===r"--------------------- - <br /> ------ ----- <br /> � , <br /> Application and connection by_____�;'___�____�'%:._____ - � , ' - ' � 'i '�_, � . <br /> ---- ---....----�--------=-�---"---�--=------------------- Ltcensee <br /> � I . <br /> R.emarkx ------------------------------- <br /> --------------------- ---------------------------------------------——— ------ - <br /> — Dep-1� of Sewcr at Connection � �i I I I <br /> f�_ ; <br /> i — <br /> Ir . , <br /> ' —,;t, , _ — ._ <br /> i, _f'•;.,_ -- <br /> i <br /> t f�,..- �, � <br /> Fr , �r � � - -- - - . <br /> � � .. . -- - _ _ II <br /> 1 � I <br /> � ; <br /> , <br /> _ � ,� <br /> . . , , , , <br /> � � <br /> _ . ; , :_ <br /> , � <br /> ; -� <br /> � � <br /> , �; .. <br /> � � ' � � - � , ! (� � <br /> ; , . , ,_ <br /> Connectiomm�dethe�Q-_dayof_____��_/�_ 191f� Rxnminedandapprovedby____�_::_._`_�_L__1'. _�_ � -i�_ � <br /> �J�/ Q 72 1� ., ,� / . r� ity Engineer <br /> . .- -- --'-L!'1�__�_ ___.Supt. of Streets and Sewcrs B a ___ ' /��r6 �:�. ' " <br /> n / __ S'___ ��' 'Yc .i':__ �-1. ..._u .. <br /> - - -- ,/ <br /> BY-----�r U�--- (� --��'�------Inspector -----���=-=�-r �- � <br /> � ���ti--------- - <br />