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r <br /> ��� �11�� ��L' � d ��a��� <br /> S4etch of Proposed Sewer Conneclion (or Building,�Situated on Lot_ ._._ "-' `�'" � ' � <br /> -- -- Block 1' '-_-�--- <br /> . . . , �. . . :: _ , <br /> Division or Addition---- ==r''_ �- . -� � - ,� •:�. <br /> __ „ ,_ <br /> No._- , ._._,—Owned 6 ��� � <br /> - - � Y ,.._r _ . ---- <br /> _ _ _,,..-. <br /> -- _- -- ___ ___ <br /> i `� � . � � ,.i _" ""'7. <br /> �pplication and connection by ✓f r" f' � � ,'�i ✓�'I..�.-^-�' Licensee <br /> RemarKs______ ___ __ _ ' <br /> Depth of Sewei,at Connection � � � � <br /> . <br /> : ;�,�". .�.s <br /> � <br /> i !/ � .�'. , .:..�' I <br /> ' -1 .. --- --__� <br /> t <br /> � <br /> .�\ \ <br /> ./. � <br /> 1 I I �� '�� .�s <br /> ;t�,=I-- --- �� rr� I 1 - _ -- - _ -- I �1,' i <br /> � --�'1 <br /> � <br /> i <br /> i ; <br /> ,> >= <br /> i i <br /> /y� , � � <br /> '�� '- ' � � <br /> _-.:--T,-�-__,-- I <br /> ; <br /> � � � . � I <br /> Conpection made the�day of ` � j '''d 190 ��,' Examined :.nd approved by ' � = � ' <br /> �! � '""' �} City E�gineer <br /> 'l�' �� - Supt. of Streets and Setvers, d2��..F�..� By - " " - <br /> $y "�� �. Inspector. � t . 'iif:� ':' <br /> ,: ..� <br /> � ----- <br />