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Ti�(l� GI'1'�' t�� ��'���,�.,�, <br />- - ---- -- <br />Slcetcli of Proposed Sewer Connectiou fur Bnilding Situated on Lot.._________________-------- B1ock_____.=�__________ ------- <br />Did,sion or Addition---------------------------=---------------------------------------------------------- <br />o. ----------- <br />----- ---------------------------------� <br />Qwned by ------------------------------=------'�-------- <br />Application and Coruiection Uy----------------`------------------------=------- --------------- ------ --- — Licensee <br />Remasks ---------------- -- - <br />--------------'------- I ----------- - <br />Depth of Sewer at Conner,tion I — I � <br />--- -- ' �' �I L J - <br />- :, . � . � . I <br />� . Li <br />I I- L��_i.�,S..�� � <br />I <br />i <br />' _ . . _ _ _. .__. _ _ <br />_ � � � <br />� �; � 1 I " <br />_ „. <br />Connection made tUc-- ----'__dny of---- =�_.`_=------1�J1'._ Er.zmiucd ar�d e�pproved by----. ---------------- ---- <br />___________, ___________:__�_____________Supt. of Strcets and Sewers 0� �6�i. City Engineer. <br />B �- --- �—`- � � ----`-------Inspector. Bn------- '. . <br />y------- --- <br />� ------`----------- —`---_._--- � <br />s <br />