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T�I�C GY`���i' �� �IVL.E��'�� <br />Sketch o�,- ?roposed Sewer Conaertion for Building Situated on Lot____l:__ �______________ Block____ '__________________ <br />" __: � `-.�� ��� � .'.. - . � l' . �," „', , <br />Division or Ad�lition------ --`- - --- �_ ---- - ------------------------------ -- <br />-- --- `-- - ` -- - - <br />No ��" � �- ----- � --- - - Owned Uy ; r i a r � <br />' -(-'------ �'--�- ---- ---- ----'-� o ' -"---------- 1 =Z �_ . <br />Apptir.ation and"Connection Uy-- --`= _ —�==-='-=-- ------- `------- � �------------------` -- - I- <br />Licen=ee <br />Remarks — ------------------------ <br />Depth of aewer at Connection I I I <br />� <br />� <br />Connectiom m�dethe__ (7 da�_ci_'_ I <br />J O_ y Z=___ _1�J1'C_ Examined and Approved by_ <br />---- ----- Y �- -'--- <br />� �� _ _ � <br />__�.�_ ��___.:_ c:__________ Snpt.ofStreetsandSewers Vb`�61J ;' Cit En neer. <br />, a <br />Y .t "s_�ti_ _____Inspector. B� <br />� ( <br />I/ g . � <br />�.,-_ ,i'�- <br />� <br />