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z�I�L cl�r�T �r �v�r�rrrT <br /> - _ ,-- <br /> _ , , , . , <br /> &ketch of Proposed Sewer Connection for Building Situated on I.ot____�_;_'__��______________ B1ocL_____�______!____________ <br /> /' �� . /------s--------- �� <br /> Division or Addition-------`--------- � ---------------------------------------------------------------- <br /> � . �� <br /> No. _:_�_ _ .'__ _� ` � _ - ---Owned b ' } =�^_t�---�t---- ` -- ----------- <br /> , � <br /> � � <br /> „ � � , <br /> � i y <br /> : Application nnd Connection by ----t�`_1-r.---`- �----7''-----�- 1-L--- `---------- ------------- ------•-- Licensee <br /> ' Remarks ----------------------------------------`----------------------------------------------------------------- <br /> Depth of Sewer at Connection � I I � <br /> : -- -- -I __ ,' . __- �, _-- -- -`.�. ----- � <br /> I <br /> � _., � <br /> ��,� <br /> . <br /> . <br /> ,, <br /> . �-- <br /> . <br /> . � <br /> . ------ -- - <br /> _ - - ,-��_--- - - <br /> . � _ ' i I I '� I <br /> � �� � � ,,� <br /> � � . <br /> � � <br /> _ <br /> � 1_,_ .; _ ____ , _ _ ___ _ <br /> _ ; ____ _; , , , i <br /> , _ � � �_ <br /> ' ` __day of___��'�_�_1___..____191_�^ Examined and•Approved by_ _!i�__i-_ � " ' � � ' I <br /> Connection made the__1� � I � _______=__S.._______ <br /> �; / �-- � <br /> ____(�^ �� ___ � _= , _ _Supt. af Sta•eets and Sewers Qej�l ,�,, _ y i City En 'ne r. <br /> , � <br /> By- � �--- -=- ------�------Inspector. By -----`-j�`.-/� - ----`/--- ---� ----- <br /> � ,�.'� • I <br />