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��� ����r �A� ��d��L i � <br />Sketch of Proposed Sewer Connection ior Building Situated on Lot ��' —_ Block ��--'�'-- — <br />Division or Addition � y __—_ -- <br />�il.r�Y�.S�����J� . . <br />No.__ ,; ._ . � Owned by-- _,..f i < < � �- .._ �.%. r j� _;% — <br />L ,1% i,,;,,,;-/ Licensee <br />Application and connection by _ <br />Remarks — __ _ -- <br />Depth oE Sewer at Connection I <br />J <br />� I � <br />� _- I <br />-,, -- -- � -�-. . . . -----T ------- � <br />, <br />� � � � � <br />Connection rnade the�-day of `� `" ` 190 ,r Exemined and approved by —�— `• <br />� ���6 f � City Engineer <br />,, - : , ;�.�.,._ r� <br />_ �� �•' `' _,_ S�upt. of Streets and Sewers. By -", <br />�./ "._ ,�' .:,._ <br />$y f� __Inspector. _ _ <br />