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-� TH� GfTY O�EVEf;�:�"T <br /> Date�'���� �f�� <br /> Sketch of Proposed Sewer Connection for Building Sicuated on Lot_ �� ` �F Block � ��'� — <br /> Division or Addition �11���'� ��l <br /> No. �0�� � �D '7 l��` Owned by— -T--r'"� /7��f/�'l��T <br /> Applic,ition and Connection by �L� � l//^/L Licensee <br /> Remarks: <br /> : Depth of Scwcr at Conncetion I I I � <br /> i �_��r���___�Y�-- I - <br /> � . � � �� � <br /> � � � � (�� / <br /> : ; �� � <br /> / <br /> .��'�µ 1-, �i�Y / <br /> _ �,�;q� , - j <br /> �_ � ;� � <br /> o . � / / <br /> � �� � �� .,, , <br /> , <br /> � I �/ 41 f, ��� II <br /> � r• � � <br /> / � <br /> Conneccion made che _day of_ � 19 `�. Esamined and Approved by _' �'��/_•!L_ <br /> ��/ / crtr Enslnn, <br /> _ � Supt.oE Saects and Snvers 6y frY.���jFrj�['"C("_______ _ <br /> �. � � <br /> � �. <br /> ' Dy—L—'—__—"— lnspccto� <br /> ', ia 000es e.zvne nen eue♦ t'Y?O(�t'� <br /> 1 ll G <br />