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. . TIIE C IT� (�►�' ��'E_'�'ETT <br /> Sketch of Prop�'•::au Sewer Connect:on for Building Situated on Lo':____�------------------------- Blocic______________________-..----- <br /> Division or Adclition _ - ` -- - --- -- -- ---- - - - --- - -- <br /> l , ' � <br /> No. ----z���7�_ _._���--�--- r? LY �------ ----- Owned by - `-'-------�--� - `- --''-- --------- --- ---- <br /> App:icat+en and connection bY----------------�'-'--�=------ ------------------------------------------------------ Licensee <br /> Remarks ______ <br /> ---------------------------------------------- -------------------------------------------- <br /> Uepth of 6ewer at Connection � � I I � � <br /> i ' � <br /> �� . _ -- , , !,_ � -- <br /> ��� �' <br /> , <br /> �� <br /> , <br /> ';' ._� ,.- � i <br /> _ , ' ,i ,� <br /> I �: � -- - <br /> l: I - -- - , __ �; <br /> , - <br /> � � � <br /> � � �i I ' � � � i <br /> : -1 r-� � I 1 �° � � <br /> , , <br /> Connection ir.tde the________duy of__�.'�_''_�.__------- 1�J1=`.. Examined and approved by__sr==�_�_.:'�'____ ____.----- <br /> City End neer <br /> .� �_ .. . / � i . <br /> ------------------------------- -Snpt. of Streets and Sewers BY---='�=---.:_C��=-�=`=------------- - — <br /> g _I�spector ---------------------..._ <br /> y------------------------------------- <br /> ----------- <br />