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�� <br /> ��� ���� �� ������� <br /> Skatd� cf Prupo;eJ Sewer Connection �or Building Situated on Lot___—_-__% 2' B!ock--� ' - <br /> s - <br /> Division or Addition-- --_-- -- `-� - �- <br /> No.= _ ;' , �'t Owned b ; / � ' <br /> ---- Y-'"- - - f• �- _-_. i_. - <br /> ' r �- Licensee <br /> Application and connection b}'_ ------ � ' � -- <br /> Remarks___ __ ___.—_--_ - <br /> Depth oE 5ewer at Conuection �� � � - ! � <br /> 0 <br /> ----- I <br /> -- ---------- � <br /> �.,_._.__._� <br /> ; , <br /> - � • <br /> � f i i <br /> , � � i�. <br /> i � <br /> � I <br /> ', ; �`i _._—_ .�_ I .._ <br /> -'"� -L�-= '� --- - <br /> `�" -�- � <br /> � <br /> I ,� � <br /> -i---- . _ I <br /> � � ,/ � <br /> � � � I i� <br /> Connection made the, "��� day o( - �� � ' '� 1 S0;' Examined nnd approvcd by ' _ ' _ <br /> ,. � {.....r Q�G��, � ' City Engineer <br /> l x ' ` 1 "` �� �_Supt. oI Streets and Sewers. By--- � <br /> -"—�—�,�il � ; . / .�,� . . � , . <br /> B '/ ,+ r�:_r; !,� . :"r: . _Inspector. - —� ' -_ <br /> Y -r--- <br />