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vqsP , � <br /> � <br /> l'HE �ITY C��= E�VE�iET�T � � <br /> Date—__--- ' <br /> Sketch of Proposed Sewer Connection for Building Situated on Lot___._ _�_ — Z_/_. _ -- Block�_--�—� <br /> Division or Additiun }"� <br /> -- - — --- <br /> . , �� ��� �� � _ ' ,-.•� . � <br /> No.-- - --;����—E�fL1-�-�—u— - Owned bY- —, __ <br /> ApFlication and Connection b _ _____. __— Licensee <br /> y--------- —-------- _ . ___ _ - --- — <br /> i ::;� ---— — <br /> - — <br /> • ------------- -- _ _--- — <br /> _ ___ _ ---- <br /> - <br /> Dept1 nf Sewer nt Qinncctiun � L � J � <br /> / / <br /> - -�' ---`'---- -- I / __ . `�' —� <br /> I — -- II <br /> � � � j <br /> f ) <br /> ..iC.�y } �� �i . <br /> l. <br /> i ' 1I <br /> i I <br /> � � .r � <br /> � I <br /> � � <br /> Y <br /> ! <br /> I I <br /> �— _ �— <br /> � OOJJ� �... ./� <br /> � ., � � ` <br /> Connectiom m�de Il�e--��—day of ' ' ' —192_;.. Examined and Approved by " `;Y eoQ f-c'� <br /> _ __Sup4 of 3trceta end Sewers. By_ _ ____ <br /> ------ ,, ------. _._Inspectoc � ---------- —_.— <br /> Bv�—�____ — -- <br />