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�HE � :l�'Y OF �� �/ERE":` T � <br /> Date_l d /_r !Ty� ' <br /> Skatch of Proposed Sewer Connection for Building Situated on Lot _C _i_' _.'- " u <br /> , Block___1 '7� <br /> Division or Additio�__ � �' "!'/ � � = � � / 1 ------- <br /> * —�''" — --____;f�l _c_ -,. __cr,.�s1_ <br /> No.—_ .: /i=� /� ._r ,'>e ei --- <br /> � --Owned by_ �I� f.�1 7 ��r• .• <br /> l�pplication and Connecfion by___ �v ���1, ('✓�,�,/L _ ---- <br /> Remarks: _; f'' � � � � ------ —�icensee <br /> � --- • ,,. . ; <br /> -�a---.— fl_!.J_��,- __'. t- . __ <br /> _ _ <br /> _ <br /> Deplh of Sewer at Connedion I I I � <br /> —i — S.-Oi?/ �. . . � ;CJ�!'' __I— <br /> � � <br /> � i > � <br /> � t` a ; � � <br /> 1 l <br /> tr, � <br /> � ; � <br /> • v 3�� \ � � <br /> �, ��� , �_a :� <br /> ��� i �' ,T� �y l '�, � y ,-� , , ' <br /> _ � \ I <br /> �� r� � <br /> r�' � � � w <br /> , ' � I � .:� ..."��', i ', <br /> 1 <br /> — � -' ' ''• � , � � <br /> � --- � <br /> � �~ I � <br /> Connection mada the—��----day of--.--i--==--- __19 �, ' �„~,', ��i <br /> -?�. Exatniae�_ and Approved by___� ;,�,. <br /> --'S`-- � � � CIty Engineer <br /> -------_._Supt. of Slreete and Sewore gp_ _ __�� . ; /;�,.. <br /> Hy__:–���� � ..� -,.� ,(� � � . <br /> 1:----—__.Inepoctor <br /> __.___ <br /> � „..�..�:.,......��..o. ...,, 14126 <br />