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T�-�� ci��r o� �vE�a�-,,-�- <br />Da�e ' - <br />Sketch of Propos=d Sewer Connection for Buildinq Situated on Lo�__ ' ' _ Blocl� �Y %� '� <br />:`�! � '' _ <br />Division or Addition_ . <br />�2�--�'��� — --- — -- : , <br />, �•;= <br />Na� _ . — Ownr.d by — ; r <br />ApplicaHon and Co:mection by ____ ;� � _ i.;ea.,aa <br />Remarks: <br />Depth of Sewor at Conneplon � <br />.� <br />��✓�� . <br />. .' ��.. �� ���f U�/1 �:.! �_ <br />.. "1 <br />,�:: <br />�'.•� t'� <br />. .- ".� ) <br />.��'`, � <br />�� ! i <br />I � <br />��~. .���' � . . ... <br />Connection made tha � day ofT�i' i% �; 191�;� . Examined and Approvad Ly '__� <br />-- Supt. of S:reole ond Sowore H /�f •�� <br />_n �—'� � y_—Y `--.— _ <br />(" , �. X:�:r'...i j�. / .� . . <br />py _�� ' � - .� J -� � i `� r . -Inapeeloc ' — —_ <br />j �_ � ' <br />�.,,,oeo..,...,.�,.e.. - 1�446� <br />� <br />Cily Eng�nccr <br />