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� <br /> � <br /> I <br /> , <br /> � <br /> I <br /> i <br /> � <br /> � �I� � �1T1' QF ��']Ci:P.E'�T ; <br /> _ , � -� -- ._---- <br /> Sketch of Proposed Sewer Connect:an for Building Situated on Lot______��___L=:_�l___�_�______ Block________�___________ <br /> Division or Addition------�=_�_�S_�L.w�%� ---- F ,_�_ S�_ _/\�I�-=--------- -------•-------- � <br /> ----'-- ------------------ - --- -- - <br /> . ,. �� �& ---- c:_ 1�_ /\ �-� I - - - - <br /> No. ------------------------------- - - �------------- Owned by --------,'------�_�.tt�C�.�'_'----'-------------- I <br /> 1 � <br /> Application and connection by--------------���1L-'---N111S- Ir_--------------•_------ --------- Licensee <br /> --------------------- <br /> Remarks -------------------------------------------------- --------- � - -- <br /> ---------- — ------------------- <br /> DepLh of Sewer at Gonnection f � I � � � <br /> _ —-- _ <br /> J L�� <br /> _ � //,y � /� � - __ �� <br /> . I <br /> � <br /> � <br /> � �._ <br /> � ,, ,. <br /> . �=- - _ t <_ , _ -- - - ! <br /> : .,--T ,�� <br /> ` , ,n..;-,v,, <br /> � ;, <br /> , ` <br /> . ! �i ' ,�,� <br /> '�„ �- �r i t' <br /> � ' <br /> . . <br /> --� � -----------_ <br /> I �� .- J �; ___ <br /> ��, ' <br /> . � (��G� il, � 1 <br /> �I �i I 114;U I �-- <br /> � I `�'-t�. .7'`.' ._,•. . ,-� (�. (J;'i�� i � <br /> Connection made the____.___day of__�L�-�_______ 191`�I Examinedandapprovedby_________-___ . ________C.,_____. _, ___ <br /> ' City F,ngineer <br /> 8npt, of Strceta and Sc�vcrs By______�__ __ _. <br /> __------�----------- �---- - �---= ---- <br /> --- —. .. <br /> ^ � � -- ---�� //� , �� , <br /> By--�---=`- --„ - �_______--Inspector _�.__�_(_t. __ �,_e__ --- .._ <br /> � . - <br />