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�"�� �ITY O�' �VE�E7("r <br /> Sketch of Proposed Sewer Cnnnection for Building Situated on Lot__._-�__—______ Elock � �% <br /> Division or Addition � � � <br /> , �—"_��-'�---`1 _.�-.�. -� C <br /> No. ,/ _,- ` ' � � --Owned by _=-, -''1 . �' /!/;r . �c"���= — <br /> Apnlication and connection by-- ' _ -' �� • _ L.uensee <br /> Remarks _ <br /> Depth of Sewer at Connection � I � � <br /> � _ .--- - � _�_� _ I <br /> ,-- - -- � <br /> � � - <br /> � <br /> l., , I `t` <br /> � � <br /> �� ';� ,r/ri <br /> `_-�-- - �—r�l\J � <br /> � `) <br /> � <br /> � � � � � >L� � <br /> _ I. .--- --- ---- -----� <br /> � I � I I <br /> : .�., , , <br /> Connechon made the �' � day of ' _190 Esamined and approved by_ - , - � <br /> ' j C�ty Engineer <br /> — _— _ __---._Supt. of Streets and Se�rers. 0256.� By— ' � �-�/ � 't' �' - 1>-> <br /> _� � J . <br /> BY_-----.--- ---- ---Inspector. ---�.4��./__�� C:'_=�i/��— <br /> � <br />