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THF C;ITY OF �/�R�"I"i' ,� <br />Date_ ( ! �, i L , /% `� ! -- <br />Sketch of Proposed Sewcr Connection for B�ildiug S�it;uared on Lot_ �-1 -! ��_--.—__ Block-�_-� — <br />Division or Addition-- "/r • ��� (( f J� /�, j' � <br />—f --------- — <br />No.= �l` / `_ •�r'c ;_;;: �/ �/i✓r — Owned by—��—.i�7��i7/� _ <br />Application and Connection by �� ���°�'r!{— Licensee <br />Remaxks: <br />Depth of Sewer u Connee[ion <br />��/1� 'E <br />i+�' �! K T� r�(�r �� /� <br />ry, ,�/ir/F �� ST'�L// //!d�(�^ <br />�'.�e ���L'/!`. ' C i'.�. ( <br />ti, <br />1/ <br />� i � <br />! /'( 1 /i� i /� <br />/ ✓F <br />.�__% --��'• _ _ _ <br />� � � <br />Co--t�ection made dic.�'� day of�-�—�—f —19 '—� . Examined and Approved b ����" <br />y-�l�L-� -- <br />� �(����% -�,�, t��,� - <br />_ � � _Supt, o(Strects and Scxers By- _�(1✓!'�:�rrt // <br />G ", \ 1 <br />,' /��--/— <br />�y ��� -'y' � r � ( Inspeemr —' _ _ _. ___'___ _ _/ / / .._ / <br />/y j � <br />i: oaoes e.vv. i ane• �i �.��. ^ r] <br />�r c <br />