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' 1 l l � i..`�� 1 LO� L������� �`�� ..�,�.� :=��- .��.��.; <br /> Date <br /> � - <br /> Sketch of Proposed Sewer Connection for Buildin$ Sitvated mi-I:dt=���-�'`'��=�3s.%F!-•'" Block�j Z�-��- <br /> Divisiott or Addition ---1'� :?i� D� ��I /'✓�t;t�/r/' � �r�'_. '.S^,f �J�i�i' l./� -- <br /> �-- <br /> , : � ;.' _sY—=��/'��v.- �A.rlerlSe r, <br /> No.—/_iL��_-_�/:, <. %;'/"c YF Owned b <br /> Applicntion nnd Connection by ✓' �' �u����------ ----- Licensee <br /> __ __ ---- -- <br /> - - --- <br /> -- -- <br /> nr s: -- — - -- <br /> Depth of$ewet ot Connection i I I I <br /> 1 1 <br /> / 'L�- � - -- � <br /> _1.�"�,- ---- - � �— <br /> ---- — -- C7tn:, .ir�,.r`/ - — i <br /> I I / <br /> , � t <br /> . �� � �"----���- . <br /> � � �� --- <br /> �, i <br /> -� � � N � I , <br /> � ; ;. <br /> . <br /> ; . <br /> �� `y <br /> i 36%�' - ` l � <br /> � '� <br /> .,� �, <br /> . <br /> � <br /> r,'�s, <br /> :�t� /��1. �---�� 1� �. . �7.— _ <br /> F��+' <br /> { � , <br /> __ _ .� �o r/�li�::,:,n ^r1� i r. � <br /> ` � - I � <br /> � 1�.i .� / <br /> du oF � 192 �_. IEsamined nn�l Approved Uy V-�•r��_' `�' <br /> Connection made the_ ' Y ---�-----'-�-- .. . . .{ � � c��ve,�a��.•�� <br /> : . /� <br /> —` � _ ._Supt.of Streets und Sewers 11Y.---..' `:�: : l _ <br /> /, <br /> ' 1 , � �—'� r7 . . �_., , Inspector —.___ ___—_..___ .—_.—_—_—__ — <br /> Y—�� C_.!` �__ <br /> l <br />