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0 <br />7�I�� �I7��_' 4�T" ��7�1LE'�T <br />------- -- <br />Sketr.h of Proposed Sewer Connection for Bi�ilding Situated on 7:ot______._ _.._______________ Block .___�_.___________ _.____ <br />Liv�sion or Addition____�_ � � � �� � � <br />. . ---------------------------------------------------------------------------------------- <br />i <br />;�e. -----=-----------------------------------------------Owned. by --------------------=-- �-==-�`--------1 -`�- --- <br />Auplication and Comicction by-----------------'-----_-------------- ------- Licensee <br />-----------------`----------- � ---- <br />Remarks--------------------------------------------------- <br />Depth of Sewer 1t Connection <br />� � i __�_ <br />, _ __ �-- ' __ __ _ — II - <br />: <br />, -_ , :. !, <br />� I f <br />Connectiom m�de the__� r�__day of_____:_-__________]51_:_ Examined and Approved by-______________._ ________________ <br />q -, <br />________?_ �_Li���____i�lct����_____________Supt. of Streets and Se�Ners ����� CityEngineer. <br />�Y---=,1. ------------ — ` ---- __Insprctor. By ----------- -- <br />------------------- <br />