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0 <br />Sketch of Proposed Sewer <br />. Division or Addicion— <br />Application and Connection <br />, Dcpth of Sewcr nt Conncedun <br />-�'-�—IF CITY OF t1/ER'�TT <br />.. �i "' . ��� _. . <br />�n for Duilding Simated on <br />1 � f�� /F" f � <br />-,;.. -.. <br />� ! � _ Owned <br />;� .. <br />G,� r /r/�,r,c-- <br />..�/z4�-°►_. ���r�a�y <br />�.� <br />b �'l��� ��:r�� �r��r <br />�� <br />i <br />..._._, r�. �.� <br />.L�i.� :`� �G�� � <br />Date—• , <br />.�. - <br />� <br />� <br />. , <br />� �' -,r'•�,:�r� <br />Connection made thc_�.�—day �f %'-•'" ��� 19�. Examincd and Approved by 'J c���E�e�� <br />' ' " r %c ir�'•r.� <br />_. Supc. of Strccn and Sce•cra By— '-_ :___.-'�--- --�------ <br />i <br />BY—;� _,.?.: - � �. Inspccwr _. __._ ___--. _.— —_ <br />� <br />ueoen� e.�iae e�H env 1�J�� � <br />t.' <br />