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':"H� '"ITY �F ��OEFa��T <br />,, , <br />Date--� - . <br />Sketch of Proposed Sewer Connection for Buildizg Situated on LotL_ �(_ .-_. ___--.— Bloalt �- <br />Division or Addition i�-��-' �1 � �i � i ia � �, Pi . I '' .._,�_ ?_�. _ _ - <br />No.—: -�' _/- � ._ _i:�� 1_1__�S. Owned by 0, �F _ � <br />��/f�,r �' � /': <br />�Ipplicaiion and Connection by�[1�L%�s=� {'i t 2.. - License <br />' - /'� �.. � <br />, <br />� <br />Remarks: r�: i , -�.-,—,—; `— -- ' --� _ ` � — � ` � � � � , <br />Depth oi Snwe� al Connection � � � I � <br />I L� - ' i j „ . - - _ - <br />I- - a n ; { '� <br />.1 � ��i'I'.Ic— � <br />;: <br />� <br />'/ I 'H <br />l' - i <br />�. �.�Y.,i:-.�� '. . r,r,IF_ 1 . <br />�\ - <br />i. � -i n � .- ; , ; ," <br />Connection made lhe---day of . ' � i _:_ __ _ 13_� ;_j . L':.ar.iined and Approved by-+_ •-�_ � � � � � <br />t' � clryt.l�qlnecr <br />,=�� ,. �:,..-,,;..,, <br />_ _ __ —Supt. af Sl�eels and Sewcrs Hy.. .-- _- - ----- <br />. � , <br />➢y_._-�� —_J=__'_—_--. .—incpetlo� • <br />..�e. u 000ne i��e xw veee� � v�� � O <br />tl <br />