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�["HE r1T'Y �� E�/ER. :�"T <br /> � Date �'� �� ' � <br /> � Sketch of Proposed Sewer Conr.action for Building Situated on L�L%'✓_ ��_!`f__! = , _ Block—�_'�% <br /> .� <br /> Division or Addilion--�r'='----`_----- � � —_--- ---- <br /> No.— ��T . �i� --Owned by—`f'"r°. /-��•. .i: , ----- — <br /> Application and Connection �+ ��•,'� �/ ,�1�"'.�" ' ------ ----- -7 --- - <br /> p_.___ __„_.___—__ —Licensee <br /> ' Rem�ka:—�4 __'' _ � _ _— ' __ _ - _ _ -._' — ---- <br /> , Deplh ot Sawur al Conneclion I I I I <br /> !�� !�� <br /> . — I '--f- , I <br /> � s > . I I <br /> ' i���.- ., �L -/f .i. � � / <br /> f ! <br /> . ( , ._ . . v.-.• i . ji :�.1. <br /> . �;s a J-:Ht -f-�i,., - <br /> �-_ <br /> , <br /> � � <br /> � � <br /> ., ,_... . . V <br /> � <br /> ` ��' '`. <br /> ( � <br /> . f..._....�_1.; . <br /> ; I � ..� -rt'-'.+: ': -- i-- <br /> � � I � <br /> Connection made the—_��day of_ — �--._13� Examined and Approved by___- � —. _—_ <br /> �A/ � L Cily Euginee+ <br /> __ _ /��'� ._U if:(�J-S��e./_____.Supl. ot Stroeta an�l Sowe�e BY-- - - _�-- ..u-''�� ���'��a <br /> 8Y—� . -�-�Cl—'�.!__._—____ —__Inepeclor I•! U9'� _—__._.—. <br /> �'>� .i..,�. . <br />