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1111: Vl l 1 Vl' L' �' 1�i11J 1 1 <br /> Sketch of Proposed Sewer Connect:on for Building Situated on Lot___:_�_______________________ Block_____-�_-'_�__________ __ . <br /> Division or Ad�ition_ �_ . -----�=_�{� ---------- -------•.---- - <br /> /� � ---- � -----A---y-- , <br /> No. _;__:=�_i.:.r_�-----}------- Ownedbv �,� __ '�_ �. . <br /> ----`="'-�----------------- • --� --=--`L'--- ----`--�J_._..5.�._f_ ZL-t_ . <br /> •- -- <br /> A lication and connection b1 �l___C__:____r___.:c':____ <br /> PP 9-----�---j --------------------------------------------- Licensee <br /> R,emarks -------------------------------------------------- ------------------------------------------ - — -- <br /> Depth of Sewer ut Connection � �I I I � <br /> I . , .�: �--- , � . . � <br /> �` <br /> � <br /> ; <br /> � <br /> — -- -- I — <br /> � �� '� <br /> �� --— - <br /> , <br /> , , '� <br /> � — �. ,s�; .yl l <br /> I _ � . � <br /> � �1 � � � <br /> � Connection made the___�5�_day of___,� �______ 182s Examined and approved by_______:_:.__:.__�____�_._.::____. _.____ <br /> /, L� �� : City Engincer <br /> -----Y-- �}/'- �l�c(= (�� ---- 8upt. of Streeta and aewera Q��Q--- �-:� ` - -=-� ' <br /> � �, _ ' --. .. <br /> B .���,L1-= `��lA'=`` �` �,`C- --_Inspector .�- � 3 i -_,1 _ _ <br /> � � -- -,- --� -- - _ <br />