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T�3��:� CITY Q�1 ��JERETi <br />�3i��ti _ _. ___-- <br />Sketch of Pioposed Sewer Conuecfimi Sar Quilding Situated ��❑ Lot .--_ -�---- � <br />� % � _ _ <br />— �— <br />Division or Addition_ - --- -- -- <br />� � — —,= —� � , . <br />---_� ���� `-- — <br />�,-v'/ % � r .'.. / - - _---�wned by <br />No._ _ — f - '---�—� , � <br />r't •� �' - ;_ /— Licensci <br />Applicatior and Connection by_ � <br />Remarks:___ — — <br />Depth of Sewer ai Cnnncction --.� <br />�_ i <br />—.�-------- <br />--� <br />—� ._—._-_�-�---- —�---- — --��-- <br />, �� � � � <br />_��� _ ,, ;�>),, , � -.- <br />Conneclion made the -=--�ay of .-�---� - 191 t� Ex.unin�e7d a(n�d Approved b " ���,ry en�;irc�T:' <br />0l�J`� �//f /'�� r . <br />- - _ .i. _— —Supt. ol Slrccls and Sewcrs �Y �r %✓ ,' ' � I •`� .. I ' - <br />� � <br />Ry , , <br />� � _.'_ i.c- �-S.t �/ Inc�icCint .. _ . _ _.. . _ . <br />� <br />_ �f�������� <br />