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. _ ,. <br /> ��� ��i�� ��' ����`��� <br /> Sketch of Proposed Sewer Connection for Building Situated on Lot _ __ t3(oc�c � __ <br /> Division or Addition_ <br /> No._ ' i - , , % Owned b <br /> — Y-- --"-- _ ------- <br /> Application and cenneclion �y _ Licensee <br /> Remarks <br /> Depth of Sewer at Connection � I I � <br /> �� � � � <br /> i � <br /> � <br /> � . <br /> �� �� <br /> � I __._ <br /> --I-- -- - — � � <br /> � <br /> . <br /> �_ 1 <br /> � � <br /> � � <br /> � I I I <br /> Connectioq-m�de the 1 day of 190 ,.' Examined and approved by - <br /> /�� � - ' City Engineer <br /> — / `' —`Supt. of Streets and Se�vers. d�S93 $y_ <br /> $y _. � Inspector. _ - <br />� <br />