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Sketch of Proposed Sewer Connection for Building Situated on Lot- 4-1 Block <br />Division or Addition__- <br />No. - -'S Owned <br />II <br />Application and Connection by <br />Remarks :— <br />Depth of Sewer at Connection <br />(1 O <br />F_ <br />Connection made the_ I day of >L- 19l— Examined and Approved by - "" ti' <br />O , 3 6 1 City Engineer. <br />Supt. of Streets and Sewers <br />By _Inspector -=----- -- - ---- -- <br />