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���LS� "JY � � <br />OF EVLlf�, � --- <br />Sketch of Proposed Sewer Connection for Bnilding Situnted on Lot___�L____'_'__�___:_.:_____�____ Block_________________________ <br />Div4eion or Addition-----,..i � n�..c� .c� - �-;�--- �'--- --- '------------------------------------------------------------- <br />No. ---- �J -�--�- �'-------�j5_� _n_ _= c�, C'i.�--c_-----Owned b .n'� f � ,.: _� <br />----------- Y ------- ---�_S_� _+.. t--------------------- <br />� aA�rY-�.._.✓�.a �— --------------------------------------- Licensee <br />Application and Connection by____ ____ a- <br />Remarka ------------------------ <br />-------------------- <br />Depth of Sewer at Connection � � <br />Cannection m/a/de tL <br />, ,//��i--- <br />---- By_�!LP_e•� <br />� <br />--I� l�c- r- Q.t� � " <br />� u��->_ <br />� , in F� <br />,� % <br />ri i <br />-- — -�-.-._��_«s__i � — <br />O_�..-----1�1,�= Examined and Approvecl by--- '���%�-� n-�--�-I -`��y i <br />='_�(__ `_____Supt. of Streets nnd Sewers QE'j5b'3 " CityEagineer. <br />;�� � (� (j�Q� � � <br />'-=---=-_---'---Inspector. B7-------=7l�.�il.4?�.�_�.Y__—_r_"--------- <br />� <br />