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'T��i1�: GI�'� �F ��JE�Z�T'�' <br /> Sketch o( Proposed Sewer Connection (or Buildin;> Siwated on Lot______._ _ ___ .—___ Block—�-::� �_ . __ __ .__ -_ . <br /> Division or Aadition_ , <br /> -- <br /> —= -- ---- _---- --- -- <br /> � ,-- - — <br /> No.-- ----�— ���L�_ ' —'-�---Otvned by-- -- <br /> �pp�ication and connection by ��•" � _ —__--- Licensec <br /> Remarks---------------- -- <br /> Depth of Sewer at Connection � I i � { --� �� <br /> J i i <br /> -- _ � -�I_ <br /> " I <br /> __ _..�._ - <br /> ; <br /> � <br /> ; <br /> ' -- -- � ---�- - .. <br /> _� . / I <br /> I � � � 1 , I - <br /> , <br /> -f � � I I I- <br /> Connection madc tl�e�day of "�'— 190 �� Examined and approved by--.—____——._—._____ <br /> �i� � ��r��r� City Gngineer <br /> !/ ,,:" ' v'�<%=f '' " ' _Supt. of Streets and Setvr.rs. �� By_.»_.— <br /> _ , _ .,__ -T � %, <br /> � <br /> Bv— ---� ---�� -_- __Inspector. <br /> — ,� <br />