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,_ _a y. V_l JC h 1�Y� JJ r �t.���a_ <br />Sketch of Proposed Sewer Gonnection for $uildang Situated w� Lot______ J-�_______ �" . <br />. <br />._ , <br />--------- Block------�'�--------- <br />--------- <br />�visinn or Addition----�----_-----_ --- '�. , i <br />�, � ---------------- ---- -----`--- <br />---------------- ----- <br />� .. ._.. ` ---- --- <br />,,,, ..: ------------ <br />.. .. . � � . <br />No. ---- %----------`--------- � ---------------Ovmed b ,. -" , , , , - <br />• .._.. �. <br />------------- ----- Y----�-------------------'------------- <br />Application and connection by___________��___ ! <br />�' 3 �au_. i 1 <br />Licensee <br />Remarks ______ 'f <br />--------------- <br />----- -------- <br />- ------------- <br />------------ ------------- — <br />Deptii ,f Sewer nt Connecticn _—� I � I <br />�_ I � <br />1 <br />— <br />iC � - <br />� ! '��" _ <br />/� /.� � I I � <br />Connection made the_J_�2__day of__�`�______ 101�^ ExaminedundapprovedUy____ � <br />-- _ <br />2 — -- ------- - <br />�/J � ��,/� 0% j 3 6 ; City Engineer <br />—--` =�-<<1—�-=- �-i/�___.--___Supt. of Strcets and Sewers B ' <br />_ /'� /1 y _ — %-------- ----------- <br />----- - <br />.,gy-- - �-r- a=�"--�1 .'r...f�f-------.Tnspector <br />