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�l It L;, v J- 1 1 tJ 1' .ii 't L 1 t..�. 1 1 <br />� Sketcl, of ProPosed Sewer C�nnection for Building Situnted on I�ot___________� ______ B1oc]c____.Y_::-�______________ <br />Div:sion oc_/klditiott-----�`f� ------------------------------------------------------------------------------ <br />� / __ <br />No } ' t � � _ Owned by ..---- ----�--=---�---`'�J '-- - ------ <br />----- -- ---- - --- - . <br />--- , <br />� , , „ ' - ----+ � --------- Licensee <br />Applkatio�n �d Connection Uy- ---- ---- '-- -- --- --- -- -- ---- --- ----- - --- --- <br />Remnrks-----------------------------------------/------------------------- - - ------------------------------- <br />Depth of Sewer at Connection � I\' , I � <br />� <br />� , _ ,i <br />-=-`--- =' � - <br />�.. . , . -1 liJ <br />-j. _. <br />. _ _ �_ -_' �-._ <br />l I <br />� � , I t---� � � . � .. . . . . (; ,' <br />Connection madethe_____�__day of______ �_'�_1.___19?-,j_ ExamineQ ar:d Aphroved b�. __.___ ., �- ° ;! <br />_____; �!,_;/�� __'_`� �'�_�_ � __ __Snpt. of Streets and Sewers �` • C�tyEngineer. <br />, ; 06443 -- � ' ;, <br />Y- . ��-'-- �-;--- � J �_�.�' _ -s-�_-Inspector. Bq .i � ����� -�'� � � �i-' � �.' <br />� ,g � <br />_ -'�-- '-`'---- � �L__llJ��---� .- - <br />