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TI�� �i t� 1 OF E`'EP..ET1' <br />— _ s�o�k_-`- ''%_ <br />�3':etch of Proposed Sewer Connection for Bnilding Bitnnted on Lot______�_L________________ - -�------------ <br />_�.� i �i-=--- - --------------------------------------------- <br />Division or Addition___ L- _____ r� --------------------------- <br />'; `� -t�s=------`~= ~-----------------Owned by --1-` �--'--_-i �_��-------------------------- <br />. <br />No. -"- " " <br />�--s"- -----1-- - - <br />� _l_� • <br />Application and Connection bY-----C--=''_ �.`�-'-----� �-`15��_'''��-=------------------------------------- Licensee <br />1 J ________ l <br />�~ 1 �______ __�_____ r� •� � <br />Remerks ---''- =----- �------�-=_-•�---------------------------------------------- <br />Depth of Sewer at ConnecLion � I � � <br />- -- I �--. .; r.-.',,, .,; .-j <br />- _— - <br />_ I_ _ I <br />) , �: � �_ . _ <br />_. _--1._� � __ _.__- <br />-�- <br />1 <br />I <br />�— <br />-- - - - I--- <br />� � /� � � : ,,, _ I <br />Connectio madethe_- -- /a9��f--�`'-�"�-----1�L5_ Examined and Approved by f_�_.�_`•�",�.�_1-."�,_rC�---..- <br />______ _��',___ !/L�1�-y�': ____Supt. of Btreet= and Sewers O�S5`J , �- City Engineer. <br />�� _ � % ` <br />, ; � >� � ^i � <br />: -- , - � , � -r-� f _� � <br />,y �L.�_ , �_ y � LrU�__ �� � _�-- Inspector. B7-�-�'� ` -- ----------- -- --- <br />, - <br />./ ! �� i%_ , , �:._ <br />C -:�-----' --= ,._.. _- --- - -- <br />�- --- - - <br />