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� _ '._ V l Jl 1 . .V� 'v r, <br /> - — -- - ' i' . .. <br /> Sketch of Proposed Sewer Connec6ion far Bidlding Sitnated on Lot__________________________ g�ocic______________________ <br /> --- <br /> � i <br /> Division or Addition---`-`-=-----------------------=----------------'------------ <br /> --------,------------------------------ <br /> No. _---=------------------------�--------�=--=--`-------Owned by ------------ ---=--ti= / <br /> ----- ------------- <br /> ; , ___ , --� ; <br /> APPlication nnd Oonnection by..--------_----'�!/-----'=--------�------�-"=-�----k----------------------- Licensee <br /> Remarks -------------------------------------------------------- - <br /> � --------------------------------------------------- <br /> ' Jepth of Sewer at Connection I � <br /> -- - ' . S I - � ` , I <br /> ' -�- +�- �---- --- -- �— <br /> _ � / I <br /> . "` � I <br /> ; � i <br /> ; �. .I -1� <br /> ; - I �-1 j � � <br /> � <br /> --- ---- ------- -- ---- � <br /> ,� �� - I I <br /> � <br /> � . <br /> � -- _-'- - -- --- - ----- -- ---- � <br /> � -� <br /> � �� , � ,_ , ;. <br /> Connection made the_ _. de. of_____;:l�_' � ' <br /> , .9 r,�+1J"_"'_S.�JI_Y Examined and Approved by-- -_-L'- , --_--- f-i �_-- <br /> ,� .. _ : <br /> r <br /> - ----- `�� ` °t' City Engincer. <br /> �'=" --� � ________Supt. of Streets and Sewers � <br /> __ i <br /> Hy_��`��-(�==-----r='---"---------Inspector. 06B.14 . / . '_ , <br /> 9- -------- ----�------------ - ---� <br /> ' <br /> ------= - --- --- i -- --- <br /> -`-- - <br /> —c <br />