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��� �.��� ��' �° ����' �� <br /> S�etch oE Proposed Sewcr Connection [or Building Siwated on Lot_._____�� __ Block_ �' = % <br /> Divisiotrbr Addition_ �-_ <br /> „_. . - -- <br /> No.—_-�'• ! ; ''•: ' i^ = Owned by_------' _ .. . <br /> Application and connection `6y _ I.icensee <br /> Remarks <br /> Depth oE Sewer at Connection � � �— � � <br /> —� ------- --------- I <br /> � � <br /> � <br /> ,�. <br /> i , <br /> � �J `�Z ___ � ; , <br /> -�- .� /�y ' �.�. � <br /> . � I �� -�`f� �) <br /> i � <br /> � i � <br /> � � i <br /> � . .,�-- i �_ <br /> I -- ----= ---- � <br /> . � � -- I I <br /> Connection made the -`__day of � 190�. � Examined and approved by �_ <br /> . (l�'7�f j City Engineer <br /> — —.—-. �Supt. of Streets and Sewers. By <br /> j-,,. � .- . . <br /> BY� ' -- Inspector. ---- -- -- <br /> - � <br /> � i . J <br />