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'I'�� C�"�"�' O�" E�'��.�TT <br /> -- --- -- <br /> _ <br /> Sketch of Proposed Sewer Connection for Building Situated on Lot__ <br /> Division or Addition_ -- -- - — Block <br /> �------- <br /> No._----L1�.�` ---- — <br /> -- Owned 6y--,.-;-, ; <br /> Application and com;ection by - -- ---- . -- ---- - <br /> Remarks___ � Licensee <br /> Depth oE Sewer at C�nnection � � <br /> � � � <br /> - - —---------- � <br /> --------... - <br /> � <br /> � � <br /> 1 <br /> !I <br /> �J i _ _ � ' <br /> - _ _--- --- � I '� <br /> I --- �- - -- <br /> � - -- - --- _ I- <br /> - - .__ <br /> - �---- <br /> _------------ --- - I - <br /> � � -��. I __ <br /> Connection made the '- "' day of n , I � <br /> / , � ,• . —19 Ex�imined and approved by_--------------- <br /> ----<--- -_-- -=--___Supt. of Streets and Sewers. U� 112 City Enginecr <br /> BY-- --- <br /> By�- ---- - ---- ___ ----Inspector. , <br />