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�� <br />■i <br />li <br />TI�E �Ir� � �lJl� � PT 1�i����, <br />- - ----- - <br />Sketch of Progosed Server Connection for Building• Situated on Lot_____`___;____ <br />----------- Block-----��-------- <br />---- <br />Division or Addition____ _ , !, ' � i ' • <br />. <br />�- �:i_ ..�.>._ . , , . ; <br />- -----1�----'------=-=__-------------------- <br />---------- <br />, . -. I � ------- --- <br />No. ----`---`---'__�_� �S_ o u� .% � <br />---- 1- ----� -------------------Owned b c �=_- _ `�?-=--�'--n-------------- <br />y Y -----�-=-- --_- <br />Application and Connection by___________�_,_j____ '�j . `� <br />-----'-'------------------ Licensee <br />-------------------------------- <br />Remarlcs ---- <br />----------------- ---------------------------------------------- <br />D. th oT Sewer ati Connection I � I � <br />_ _ — - =— ' _. M_ �._ <br />_ �I _ _ _ �._ _ `� , _ ' � - _ __ _ <br /><_ <br />i F:' } <br />� <br />I <br />E i -'j� _ - - - _ _ � <br />� � _._ , c I I <br />Connecti�nmadetl�e_.____,_dayof_____.__________i_1�JL',_ Examined and Approvecl bg____�__ ' <br />_, , <br />;_--- - „ <br />----- <br />--� --- <br />-----I =--�--�-=---^--=--�---�---- ----.---uupt. of Strr.ets and Sewers . l� -� ' <br />� � � � � �� City Engineer. <br />,_By------------------------__Insp2ctor. g . . <br />9! ---------- '-= — ---- - <br />