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�'II�'� CI�.'�i.' OI, ��7F�JIJr�.i1. <br />-------... --- _. <br />Sketch oi Proposed Sewer Connection for Bni.ding Sitnated on Lot_____:___1.--------------- Slucl._ -._-------- <br />.. � , �� , .- .� -------------------------- <br />�, , i <br />Div,sion or Addition----�-+t..c��r�_�----'--'=----�- '- -< �-! �`--�-'----------- <br />---- <br />No. -- - s.o-t�r.c.r_:r� ---��-:-4>��-------O�vned Uy ---�---i�----`---'--`�-_l-z------------------- <br />�.5 0=�---� <br />�pplication and Comiection Uy____r_i_�Z--_- <br />Remnrks ---�----�-'-�=`-------------- <br />Depth of Sewer at Connection I <br />----------------------- <br />-------------------------- Licensee <br />------------- ----------- --------------------------- <br />I <br />,. , .� - . f� �� � r __ , — i- — <br />i <br />�� <br />_- -_� <br />--..- .. . . __... �. - -- ... _ _�r—� u�.---= . <br />1 <br />'� <br />- il-- <br />� //' � i I <br />Connecti made the__�_�__d��y of____(�_f_/� __-1�11�f_ Examined and Approved by _______._____-.-__-_-----.=--'-,-r- <br />�I • � .L-- <br />__ _,_,-_��, _��� c_/ �.�Y_._-----8unt, of Streets and Se�vere 06�.� j C�ty Engineer. <br />tl Ins ector. � ----' / <br />,----= `; , � � ;��- - - <br />� f ��L_ ✓L'� ��_E_ p B7- T- <br />N - � - ---, � � � / <br />� � - - ---- - - -- <br />. � �, <br />