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�H� �I'�"� C7F" ��T���TT <br />Skctch oE Propoeed Ser��cr Connection for I3uilding Siwa�ed on Lot___��C__.. <br />Division or Addition ____ _,__ � � -? c•f��ti, _ <br />No._—,i '�� �—_ _—.--� � . - — --- -Owned by -- ` '.% <br />Application and connection by � � ...- �-i -,-� <br />Rr_ma; �cs __ __ _ <br />Depth of Sewer at Counection <br />Block `-�� _ <br />i �r , ;�,_ �.,( <br />_ -- —7 <br />J � ..�_. � �- <br />--------���:ij�:! --:-.—'=t �'-� _—._ I <br />-;- --I - <br />,� <br />� <br />i C` <br />/ � . � . ,�_t'��- � <br />_.�__—__--- -r . -` ____.---..___I- <br />� I --�.a� <br />� I I <br />1 nF ;1 <br />Connection made the �day o( � t t i t 190 � Examined and approved by�_.' <' __ r' � � <br />i / -�-- �� , """ Ci� Engineer <br />,' % I�� ���1t�1'lr � t t---- '—SupL o( Streets and Sewers. L.1 I�i u By1 l�'%:--:!'1 '! '�tir.; .< �. <br />u <br />By--:-1L-?--� �f�-�1—i _ -- �nsp,�ctor. � �._. c ;... <br />; _ _ _ ._ _ -,- _ __-- --- <br />