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'I'�i� �I'I"Y ��' E��I]�R.�:T'�" <br /> ------_- ----- -- <br /> _ �,!�- <br /> :;ketcli of Propo<_ed 5ewet Connection (or ��j n'��Situated on Lot__ �-�_____— Block �a�' _ � <br /> Division or diF�on i� �'—! � ': <br /> � ��`=--T � <br /> No. � — / r v�_.�...<.._..-:'' -et..�e..-.,s_!,1' O�med 6 '� ` .��,.�+� /,' — <br /> � <br /> � �. ��i''+�*.,--��—:-"-'—-L--'"'---`�..---- <br /> � Application and connection by /"� �-� ,�%�� "-,� ✓�"`�- <br /> � _�_ Licensee <br /> Remarks� — <br /> Depth of Sa�ver at Connection � � � I � <br /> - - _ l.- _�, , <br /> I k_:._��,�i: ,, I <br /> ! I <br /> � � <br /> �C� <br /> `� ����y - �- � -- <br /> f� ,:�- 7<! . _�..—�,�c � c <br /> � �.. <br /> � ` <br /> \ !-�� � � <br /> i <br /> ,f <br /> � _ —^}-- �. <br /> �:' I: I _rs_—r-v.-.�.�[�..�,r /' . <br /> � I . I <br /> �� � � -;,:;:� �-�. I _ I <br /> . , .- - . , <br /> Connection made ihe � % day of ' . ' � 190 �,' Examined and approved by--%� �-� r"--'-¢-t---•�^-« <br /> r;, � ' , � � �f,f` City Engineer <br /> , <br /> —Su t. of Streets and Sewera �B ���l' ' '�"'�'�°--' �✓Y T <br /> ----z- r p 018 7�3 %�'' i,� �'' --. �. �i <br /> By (f �, , � . , --Inspector. _----�—=-� /'., �'� -� <br /> . . <br />