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I <br /> � <br /> . - - , <br /> .,...:..:,� m rroposed sewer Connection for Bvil�ing Sitvated on Z.ot_______�__________________ Block_._______________________ I <br /> Di�;sion or Addition.____�-______�_ � � '�� ���___j � <br /> --'----��-------`"-` -==-------------------------------- <br /> --------------------- <br /> � , <br /> No. ---=' + ' - , __Otwed b ' <br /> r-------`---� - ----------------------------- Y --------"------------�----------------------- , <br /> ApplireYion and Counection by.----r i_-!_-�--�=-�=-:==--:_=--='-=---'------------------------------------- Licensee i <br /> Remarks ------------------------------------------------------------------------------ ---------- � <br /> Depth of Sewer at Connection � I I �_ I <br /> � ' �� �� , r � � . � � � '� : � <br /> .� ,irri.,.�.,� <br /> :�wN..vv' ...1'y ' . .. \ I . . _ _ _ . _ .___._. I I <br /> . � � I <br /> . :'.� .l�`{ . I 1 <br /> I i_� - , I <br /> . I I � <br /> r i i I I <br /> i v ' <br /> � � <br /> � � � <br /> � / � I <br /> �\�)--- � � -- -_- l.-L ------ -L-- -- - — --- � — <br /> �i <br /> .r <br /> ' � i I <br /> : _'_.I- . - _-- 'I-_.1/,.�_ _ , -_.- __- � <br /> .� � �} j ? .� ' � % � I <br /> � Connectionmadathe___�__dayaf____.__t"1F_!_z_____lfl1.� Examined and ApProved by__________�__!!_i__t_1-=�1----- <br /> � _______�L�_��`__c�t11C.:�c.g__________Supt. of Streets and Sewers 06684 Cit En neer. <br /> ( / /� r "�- �� . ' <br /> ��y---c'�F �jry.:.�:__i�i::tii--------Inapector. B�-----------------�-=------�--gr�-------- <br /> � i� 'I,i ., <br /> � -------��-cC1=i'------ ---------- <br />