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I <br /> '1'nr� CI'1'�' O1� I�:�'��.I� T,l..i. <br /> , <br /> 6ketcL of Proposed Ben•rr Qonnection tor Bvilding Situntecl on I,ot . . . ._ _ - _ - Block t ____!____ ________ <br /> Divisinn or Addition . - ----'-=-'-`=-- - --'--� -- -- - ..- ---.. _,---��-- ----'`---i.=J.i�------'--------- <br /> No. _ .. ------- ..'- .----- - � �--------=- �-----------------Owned by --------------:�_r=--------------------� ---- <br /> . _ - J_T� , .' . , <br /> Application and Conneetion by-----C-:-`_C--------_-..s----'---'-------------------�:*`-.-=----`-- -------- Liceneee <br /> �� <br /> Remuske _____ � <br /> Depth ot Sewer at Connectlon � I { � <br /> i� . , <br /> � <br /> , _ . , , ! . <br /> � <br /> . ' �' ' . � <br /> . f � � <br /> , � .� <br /> �%. � � � ` �' <br /> : / <br /> :�...�:7 . + <br /> i , <br /> , �`. <br /> : ; . <br /> ; <br /> � �- � <br /> � <br /> % � : - . _ j � • '� , I <br /> ) � <br /> (� , .,�,�: <br /> _... , I, � <br /> Oonuection male the ���- -day of----�` --�� ti _ ]�7. �(_ E�amined nnd Apuroved by _ �� ':_ :.'Y,� :.. y i � <br /> � <br /> � .!�/ (,/�� ( 1�'- �- 6upt. ot Strests nnd 8ewers � � dity Engineer. <br /> --J- �� � <br /> , . ' .__. ; <br /> A , � 'r � . <br /> (i" sy�__,..tkr,_�_i�,n... _,ti _��;, r�ep��toT. OG313 B� -- _ <br /> - -- _,. . - / <br />