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[� <br />�,�IE �'T�'Y C�� F��TER�`�' � <br />Sketcli of Proposed Sewer Cannection for [3uil�!ing Siivated e`n Lot _���_ ____ _ l3lock___ _'_ —__ <br />� / l <br />Division or Addition - ,— '-'_ '-=-- � '�.-r'� ���' ' _ _ __ . <br />. i__�/ . y � .. <br />� _—J. _� <br />� � r .—_ (� . . <br />7-, i, <br />No. 3 (, / � � �f•�- — �i--� � = — -Owned b�_ - �" -t�ai'�l i <�L` itir ----- <br />i-_ // <br />Applicafion and Connec�ion/�Y.-- �'`�—�Cf�:�i�- l — ,--- — _ - --. ----Licensee <br />Remarks:-- .—. —_ <br />Depth of Sewcr at Conneclion <br />f" " <br />� I i <br />� /��. G' d <br />I <br />i <br />- I--- - - /,L.-, r _ J. � <br />� �- �� � � <br />Connection ntade �I�e : �� dayof �a �' � - 191 � Examined and Approved by -->'-'_ . --::" -� -�i;-, , ,r /�— <br />O/ G a� • , C:ty L'nginEcr. <br />. . _.-.— ..— _ ..� —Supl.of Slree!sandSca•ers [3y. ;� ,:. �� �..,�:--.� �:.;--e:i.�=i . <br />� _ , .. ._ _ . _ .— . <br />liy . C=� -�L . -�Lca.. ��'�.. �In,i�ecinr '. _' _' .. � . .. 1' _�_ .. _ — <br />