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�'IIE CI'1'`�T OF ��'LI��.r�7� <br />Slcetcl� of Proyased Sr.wer Connection for Buildina Sit•aated on I.ot____ ._- '�� ________ g�a�k___. �•'_ <br />_ ;---�--- . ..-----_..._--- <br />� � , � <br />. ��_. : �� �� , <br />Div.sion or Addition_______ . �� -� .��-'l��" ��� ��- � � � <-' <br />,_ _ ' <br />__""" "'_ ' �. __'. ! . ' ' _ _ J <--- _'_ '__' "_' <br />- , - , ) � -- <br />No. --�- -`---- -- --- - --Owned b t; � � � . <br />- - --- ----- ---, - -- Y - --- -----�-` <br />- ------ -- � �--- -- - <br />Application and Connection Uc------------------- � ----_-- ,-.---------= --------------------------- Licensee <br />Remar�;s ----- ---------------------- <br />-- -----��------------------------- <br />Depth of Sewer at Connection I �- I I <br />- ; % . <br />-- - -�- �,_ i; , , � � <br />-7_, - �' -'� - - - <br />�� <br />Connecticn maUe tl�e__ q dny of <br />/�/, 5,4;- ���" � <br />B5' --G� %=- : _�.��3�,�'r• <br />i� <br />-.' .�'1 y � , <br />. � <br />J' <br />_ i <br />_. _ <br />, .- I <br />z��_�-- -_ _191 S� EAaminecl uad A > >co��ed b '! / � _ ... �_�-- <br />i l Y- --=- � -----' - <br />_Supt. of Streets and Se�rers OE�J��}Cl� '/ � . City En6nncer. <br />'- - __Inspectcr. B� _ � - --{- �=�"-��'i/C, ' - <br />, �. <br />-r . <br />-- . ., i: "'�. <br />