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���. c��r� o�- �v�����r <br />Sketch o[ Proposed Sewer Connection (or Ba,lding Situated on Lot___ _� <br />Division or Addition— <br />No _ Owned by_ .---- - <br />Application and connection by <br />Remarks <br />— Block . <br />�•<i � <br />Depth of Sewer at Connection � I — I � <br />� <br />,' '�. � <br />_ ;- � <br />; <br />I <br />� <br />1 <br />� � <br />1 <br />T I <br />-- --- -- I <br />1 � � I <br />/-�. <br />Connection made the �'• ' day oF -•�•�-' _.1.90 � Examinc�l and approved by <br />;� --�'�-�t�`—�,-�, �.��' �- �"�-'xt'�',1-,,� '' ".' Supt. of Streets and Sewers. D l� �,i BY— <br />ByT(__,__, �< z,r'-'�--�"!'.C..,�-r"....t_....•�- Inspec.or. <br />� <br />•:, <br />, <br />; <br />•'� <br />City Engineer <br />