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� <br />��rxi. CI��T �r ����ii.�:���� <br />Sketcli of ProposeJ Sewer Connection for Building Sitnated on I�ot____ _____________________ Block_________________________ <br />Division or Addition- ----------------------------- ----------------------- <br />No. -----------------------------------------------9wned by ---------------'------------------------------- <br />Application and Cunnection by----------------------,------------------------------ ._---------------------- Licen:ec <br />Remnrks <br />------------------ <br />Depth of Sewer at Connaction I I � I - <br />Connectionmadethe__�,__dn�__�'/�?�.�_____� Exnmined und A�roved � I <br />� ,� <br />� Fb Y----- ----- ---Y--�--- -- - <br />/i <br />,, � <br />------ f �� __L�c�f��;� � ______Supt. of Streets and Sewers 06,Z3 J Cit En ncer. <br />`�Y � � _ �_.�.�L7cr.�_-�•`r'���f--- - Inspector. B�_ _ ----- ----- --------- --- <br />� <br />