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4 <br /> Tx� crl � .,�- _�. �` �:�:��., ,� : <br /> 6ketch oP Proposed Se�ver Oonnection for Building 8ituated on Lot__�`f___ �= <br /> • ------------- Blocic--�----`=-�-------------- <br /> � - <br /> � . - . <br /> � - , <br /> • Division or Addition-----------------�----------''-�-----�=-�-------==/--------------------------------------------- <br /> � , ; . ( . i--' . _ z � '_� <br /> ., , <br /> No. ..- -�(�--'-------- . _ .i ------------Owned by ---�=�=C'"� - - ------- <br /> - }, ;� :, , <br /> ------------------ ----- -------- - -�------^`-`1- � -� - <br /> ' � � � --- ��� . /;� .«- /� -j {?-T-- • <br /> - __.___�t�-'1-�-1--'_-;'----�---'=---- , -� -------------- Liceneee <br /> Application and Connection by____f_�_r______ __ ____________ _ <br /> I- <br /> xlIDf1'�CH """__"""_""'_"__'_""""""'_'_'___""" � I <br /> '_'_"____"_""___"'_"__"""'__"_""_'__"_""" <br /> Depth oP Sewer st Connection � I I � <br /> . _ � , __� I <br /> ' _ � I ;:,�..:. • , ;L�_'�:___ � <br /> .�r.,.�� , , , „ ���� � . <br /> � � ' � ,� . <br /> � -Lr,�-i.�t;'.>_'�J' -'�'-t � '� � �� <br /> � ! � �� \ , +� <br /> • '.�,t/� �tt.�k -7��.;,�.� <br /> � <br /> :f%,--c.L.� - � - � <br /> . i -- -- - --- �- <br /> ' i <br /> �`` �� <br /> �i �"� � I ' ' � <br /> � <br /> ,1 !, ; ` <br /> � <br /> � � ; <br /> ,�� iif —�-�"� -- -- � <br /> � r . . C_., -- I <br /> ; � , � -------)--- ,:. � ' <br /> / <br /> - -^ , <br /> ' Connection madethe________day of__.________________181___ Exnmined and Approved by_________ � ��'_� <br /> � -----------------------------------------8upt. of Streets and Sewers Os$g� ; City Engineer. <br /> By-------------------------- --------Inspector. B .=. .,L <br /> . . <br /> , � , <br /> � <br /> 9----`--=-----'-------=-------�-:.-�`__�=-- <br /> J.�'. � � ;, / � �-`-�-`-- <br /> ------�---=_._-=----�' 1---�. .�-- <br />