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1-lti�; �;1�1�� �r' <br />Sketch of Proposed Sewer Connecticn for I3uilding Situated on Lot_ <br />�,1� �:��"1_.1. <br />r�i�,�k-� --- <br />.. :;.,...:.-��.�. �,��,,. --- - -- — <br />Division or Addition— ---- —+-- -- — -- � _�. <br />- -- <br />n , � � �,�„ . .��_._ �= — � i,, <br />p " �;'"""'�' --Owned by_ . — — — <br />No.--- �'IL--__: =.. �.,� ._.. <br />', �l '^ �" �,�.1•✓----- _—Licensee <br />Application and Connection bY_---���" <br />Remarks: — <br />Depth of Sewer at Connection � <br />I I <br />� <br />-- --I- <br />,J_.� .i _-, <br />L� <br />� <br />� D_ a of __r_�� 1�1� �xamined and Approved by —=��" -'��=`1�' <br />Connection made the..� � Y /� t—�— - �.75 j� � .- Ciry Entiinec� <br />L ' C <br />S}'._ �i-'I�.--� <br />� � 1 ��:ifli�-'%. <br />-_ ��, __ Supt. of Slreets anJ Sewers �;Y � r— '–��—`� <br />/ • ✓l _��� � �� � / -- <br />_ �.�(;21_c, �-G_�cc'.Inspector -- '–_ ---- <br />' „.w«,ry:�,..��..., <br />