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' �i <br /> , THE CfTY C>F EV�RCTT I <br /> Sk�'"'�"wi[ Proposed Sewer Connection [or Building Situated on Lot> ____-____�__�_. Block__—_�/_ __________ <br /> � �� <br /> Divisiou or Addition--'--.--- . , � ____'.__ . . _ __ . -- <br /> . , : � � . — <br /> No..� '_�6 - - _ ._�_�_._y— — .Owned by_ _ �--- <br /> __ . :. _ --= � -- <br /> _.__ �-. , �/ _ _ . <br /> Applicatian and Connectian by __ __-____—� �__ ,: ��__ ___ ;� ___Licensee <br /> ` Remarks :--- — ------ _ --- --------------------- <br /> ; Depth of Sewer at Councction I I � � <br /> ��� <br /> '— -------- I � . .� . i � L I <br /> . _ .. .._ _ . ._ ._ . ______--------.-- <br /> . il I <br /> � G, � <br /> �' � : i i <br /> i <br /> _.!'� I . 1 <br /> � I"I "� ' � , <br /> t_,_ I i . <br /> . � i � I � <br /> i <br /> �,� _ _�w'�- ---�---------- -- rT ---�- <br /> � I <br /> � <br /> ;� <br /> � '.� <br /> � <br /> � � � L' .�, i' �..� .J � � <br /> �4940�. - _ _ _ _ � <br /> _ _ - -- ------ - - <br /> � � - -- <br /> � � � �-� . , � <br /> Conncction made t6e —�—day o(�C'_!.1___ .___ 192� Gxamined and Approved by _______.__.__:_-�. _ <br /> � r / Cily F.ngineer. <br /> -- Sup�. ol Streds aud Sewers. 61---- ' �' • �—�� <br /> —_T— / ) ____'_' <br /> I . . � . <br /> ( i � ' � ' , _ ! .. . , �� 2 <br /> BP--`--_�"`_�---.._�_�___._. ".'__-._ --� lospeclor. � ------.- � ' -� -"��V <br />