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���� ����r �� �v���� 1 <br />Sketc6 of Proposed SeH•er Connection far Bmldtng Si.t�sted on Lot-� %_! __- . Block_�=' = __-_ <br />, �, <br />Divis�on or Adddion __ �'-- r" -- <br />," - --�-- � ]� <br />No.�. �r� _� � ` O���ned 6 _�_1 � �� =' _�;, - __ <br />.-�-�-- u� ,, <br />Application and connection by � � -" - ---. -� ______ _ ___----Licensce <br />12emarks-_. <br />Depth o( Sewer at Conro:ction <br />� I , - d � <br />�. <br />, <br />_ _ - -�- - "-r�- - - -- � ' -- - -- - -I- <br />i � <br />I <br />, <br />, i f , <br />r i. ; � _--�-��-'�_� - <br />� � I I <br />Connection made the='�� day o( - 190 � Examined and approved by_ `` '"�`` <br />f" City Ehgineer <br />'i� � �' "' �' �.�_Supt. of Streets and Setvers. Q'Z.'� H 5 By ��, �; f I, ' Ir: <br />��`(' � , ��.... � -i-�/ V 1 L'� <br />� -Inspector. � ' ` � <br />QY-- , , _ -_ ------ - , <br />