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TI-� E C:ITY �F E\/�Rr�'T � � <br /> Date i . . . � ---� .._. -_ '_ � <br /> i. � <br /> Sketcli of Proposed $ewer Con�ection tor Buildin$ Situated mi Loc.-- .-�- -f - �-- Block— � ,�-'=t -- <br /> Division or Additimi --'� -- - ---- - -- - - - - - - --� � -- <br /> p // / .�_, �-� <br /> — - —--- <br /> No.---�aQfJ f- �7 ��� [„_-c.^— __Ownedb !:L,�, ---� ���a -- <br /> �/-/��-Tj- ��-- -�� �-- Y—T— <br /> ApplicationnndConnectiun by �`-r-±�-_��-0-"- � - - -------- -- - - - - -- - -- Licensee <br /> Remarks: ----- --- -- --- <br /> Depth uf Sewer uc Connection I I I I <br /> � <br /> I �� u :.: C �- i �.. <br /> -��-=i,------;�_ --�- -- - - -- - -� - <br /> \��_____ <br /> � <br /> � <br /> � - <br /> -. �� _ <br /> , . _. - <br /> �� - -- - -- <br /> _..__._- --_ _ -� <br /> -- -- �l- <br /> �. - --� <br /> , I <br /> _._ - i <br /> I --- <br /> -- -- - - - -� _ <br /> , <br /> f �- ���::;:� � I � <br /> Conne:timi mnde thc_<__ cl�y oE_. ___ . . �. . _._19Z,_'�:) �samined nnd Approved by.���r'._,=- '--=_ --- <br /> , c��vi�nxi;����- <br /> r r-. <br /> '__'—__—_ --_'__ tiupt.aE StrectE und Scu�en L'y__'.�.. - �c-i_��.'�_—li'l--;r-_".. ��.-.,--_. - <br /> � _____'___Inspector __ _ . . _ . <br /> Y—__ <br /> � <br />