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,��H� l.;l 1� 1 l��' L'I.ft iii�.�l9 1"'1. <br />-- --- — � � <br />� . <br />Bketah of Propoeed Sewer Oonnection for Building 8ituated on Lot-------- 1'_--1---------------- Block----_---j-------------..----- <br />i ! <br />Dividoa ot Addition-------------------`----= —%-------=--=-_'-C:..-----------'-r----'---�---------------------------------------- <br />�� �/ .. , � � � <br />No. / /'�------------- ' --�-Ownedby---=--L--=---��-----�--=--=�----' , % <br />---- , � <br />----------------- --------=--------- ----�-==---------- <br />. �; • - <br />Appliaation and connectioa by_______________________ � �� -' ''- � _ Liaensee <br />'T"---�---...-------��------------------------------------------ <br />BBIn8tk9 --'-----'-- <br />Depth of 8ewer at Connection � <br />'�- <br />�� <br />�. . ,: ; --t <br />, <br />"�- <br />� <br />� `'� <br />: �, <br />� <br />i� <br />� ��� � I <br />Oonnectioa made the_2��__dsy of__�_ � � � � <br />_ _ __ 1915 .. Exammed and a?proved by_=u_! �-------------------- --- - ---- <br />. ! Qity�Engineer <br />' � __Bu t, of Streets and Sewers �%�'J8�'- �`� '� � ------ <br />--�---�----.���- -,--- p -�- ,-�------------------ ----- .. <br />9--��, �(�� � , <br />---��=�"--�-\���------Inapector -----------------------------------------... _ <br />✓ <br />