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'�H� CI7["Y OF' ��T�RE�"T <br /> Sketch of Pro ose � �' �` <br /> p ���Se�ver �onnection �or Building Situated on Lot____1�___. ___ Block -` `� -' <br /> Division or Addition��____ <br /> ' -' -- — <br /> No._�-�"�_ � c: ; •., , �t-ti ::J Owned by---r-' -"l i ;;1�; 11L <br /> � .- � ,� <br /> '- -� . ._ : _ _-- <br /> Application and connection by '-�"� � ✓ _ ' <- c- �.,.1.�, (.icensee <br /> Remadcs <br /> Depth of Sewer�at Connection � ���� � I <br /> ; <br /> '` _%_� <br /> --- _ -- — __ <br /> � <br /> ' ----�- u ��"` .1 - � <br /> i � <br /> P �., - - � <br /> i� <br /> �� <br /> � <br /> � <br /> �,` _ <br /> �j�'�� ;�`___ — � -- j .._._ <br /> � iq' <br /> �`_ ``` <br /> � - �� <br /> � I <br /> I _ _ ; � , . � '=� <br /> I — — � <br /> ;��,�' � c ` I <br /> Connec�ti.,n made the�day of ..���G�''l- __190 ;' Fxnmined and approved by `� � ' � � � l c% �7 ' -'--) <br /> �/ e •s� •"� ' .•� 0��'J��� ' /r - -- C�ty. Engineer <br /> --�-'` `. ' ' ''� ' '� "''�ti��."` Supt. of Streets and Sewers. By ,I% �� � ' '�� :t,l/.;. <br /> - B9�� <br /> i d. <br /> i . <br /> -t=� ;�-C., '.r��.� —Inspector. -- ---�-'--=-�— ' � / r, p r. <br /> J -•---� i .� <br /> i <br />