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T��� �I�'Y OF �i�T:L�.I�r�'T' <br />_ _ _ __ _ <br />Slcetch of Fro�osed Sewer ConnecC;on for Bnilding Situated on Lot___ _____,`___ _� _ <br />' ---- -. Blocic--------------- - <br />Div,sion or GddiLion--- --,,----- ".: ,; . % ;'_�!� ' - ` ------ <br />------ - �_ /� : <br />---- ------------ __-----'}------------------ ----- - <br />No. ' [-_�---,: . ._ .- ; .. T ! .— <br />--��=--- ----�—`----------------------------O�vned b ' = - � � . :�. '.: -��. �. <br />9 , <br />' - -r-'-�''-'----=-"---=-----` <br />� ' '� --=------- <br />App�i;ation and Connectiori�Uy______________________,;;«_ ___ ! l__. _ <br />, <br />---------------------------------- Licensee <br />Remasks ______ . <br />----------------- - <br />---------- ------ -- ---------- -- <br />DeptU of Sewer at Connection ! <br />_�- ,� \) - � � <br />j� i , <br />..� %(/� � �-��..V 1' �,t� :��t/ <br />C <br />I I <br />- I <br />._. _ ---�-- <br />, - . I <br />- �_. r-'/ _ - - <br />, <br />� <br />� <br />7 -�� I � -� � � <br />Connectiou ma,de tiie__ .r�_%__dny of____ ��=____i�t ts_ Examiued and A iroved b � <br />� i � PP Y �— -- - <br />--- "�� ���= �� l �� --- -_--_8npt. of Streets and Sewers Wt E <br />� • � / , i , � 6 3 $ 5 ' . _ ' . � Y ngineer. <br />�� �3 --�'I''ta:�, _ / i =-- � -Inspector. B � . : <br />:.--- - � v <br />/ J t' ' � � i i �� <br />l�. i . . .� . . . __ <br />l f � <br />-, ' / � <br />� _� .f i . <br />.__._ __�... _.._____ <br />