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■i <br />T1-IE CIT`�( �,� �V�'RETT ;.;,; ,� <br />Date---- -- `-- _ _ <br />i <br />Sketch of Proro;e3 Sewer Connection for Buildin3 Situoted on Lat-= -��-"- - != �� �� =' - - -- . � ��,- Block- �=�- -� ���` ��N� �- � <br />Division or Addition ' ' . � : '----`-�'''`'.,- --- -- - -- ---- ------ <br />--r-- --..�r—c - <br />No.� __--- t' /��� -� -- . _l�f --Owned by C � � v ���� H�t /_L- --- <br />Application ond Connectior� by-_.r''!• �L!. /� i�_�� _____ _ -- i.icensee <br />Remnrl;s — ------ - -- - -- -- - - _ --- --t--- <br />Dep�h of S�wer ut Connection I I � I <br />__ .___.—____ __.._ I ' I <br />C � i. ,' : i G'�:. <br />, . . _1_'______—_�__.. _"' " — --__— ' _— .___.— _ . __' <br />� � 4 � , <br />: �, <br />,: S.i' . , � <br />e� i��a <br />'' � Y � �. <br />�I,' qc <br />I <br />.; <br />; <br />- �--- �--=�-� . . s" - - <br />� i r � � �:;.� �:. � <br />.� � : : - . _��. <br />� .. � _ _ 1 ��- Exumined mid Appruved by � � �- � � <br />C�nnectiom m�de the_ _ - -- -dny o[- - _--_ -_ ----- - --- -- <br />. � • ' CiryEndin,.r - <br />' _—', _ <br />___ __"__ _._ _ _ _'Supt. u( Sireets and Seu•ats By r � � I' I ���: • •/ <br />� �/ l : � �;' � :� ' ' Inspector . <br />By —_—_'r.. —..___— —___. _. .._ ._ ___ '__._ .._. <br />,. — —'_'___—_ <br />