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T�-°l� �ITY OF t0/��EI'T ,,� .: �;;,�.� <br /> _ na�e <br /> Sketch of Proposed Sewer Connection for Buildinq Situated on Lot______-�'___ Block " � % <br /> Division or Addition �i_- - - __ � %' � <br /> No.—_---Z�-"/1Ni4at� `'T� _—Owued by--:�_S�- —� - " ��,�--- — <br /> Applicalian and Connecfion by :._' ���t ��- L { �icensee <br /> � Remarke:— — —=—�-`' -- 0 ��'?� c `i i: �` — -- <br /> � �Depth of Sewer al Caanoctlon � � /��' ..+ /��� / —I <br /> _� <br /> G I , —_ I <br /> �-:� . �;�.. � <br /> I I <br /> : W.l.l.Q++cr Cl,p.O�'A ,;n„- �.[tuP,��+.�. . <br /> p u u- <br /> s�,,,.��.:�,,, -C,d-74.� Q.t.f'/ka.:,,,.,�t.1.1�.,_ <br /> �-an.«s.C�s.... Sw.....�hi,� ce.o..wt . <br /> � U <br /> •�.a �f.� ..i�,l�, <br /> �fNl'`�� N. .�r. _� ,�.�'� r�• � � ii���� <br /> ,J:(i � ,� ;�% T i �, .��� �-� <br /> , i:. '�. /%'� ` 1 `• <br /> ; '� I , . <br /> : � �� 1 � <br /> i �: .. .. ,..,� ,� i <br /> i i <br /> -i I � <br /> Connection made the��—day of�i�d_A-6+-L—-_--_19�I. Examined and Approced by__''^ ' %' ' � �• - <br /> � �� —' --_ ' � �t , City Engineer <br /> ' tUCC(A <br /> � �-w • —Supt. 01 Streele aad Sowere By--.:__�'-"— '�' ti <br /> � � � /n �. <br /> � . N/bl� �q (� . <br /> . Hy—_—=-��—�=-- =�{—_____— _ __.._ _Inapetior 1`t1Ja� _—_ '— <br /> � .�p v ena+.0 un��e�cut ao. �nn <br />