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`l i i� �:1 l� Y� �r� � V�t«. 1'-1— <br /> Y <br /> Sketch of Proposed Sewer Connection tor Building Situated on Lot '`�_ __ [31ock � �- `� <br /> Division or Addition Ii/�� /, ' • ' � ;�• ��{ ' ` ',7 � - <br /> �,{�,/- ' . <br /> ' �' 3��� ��Owned by - ' � � ;1 � .: . i.t/ <br /> No..1-'�_ ' ---- <br /> • Application and Connecticn by—_ '�� 1'1 � ' �� ' • � % �--=✓ -- — Licensee <br /> Remarks: — ----- <br /> Depth of Scwer at Connection � I I � <br /> -- -� --�— � !�%l��-�:r��.r . '-�=- -- � - � <br /> I I <br /> : ' � i <br /> � � � ' i j .� r; <br /> � , . ; <br /> ; <br /> . � . , _ — — � � — __ ,a ;,,.,,, <br /> - � ' ,i: <br /> I <br /> ;:;=� " _; <br /> i— . <br /> ;,l <br /> I ' � _ � <br /> � / � r I <br /> �-- � � <br /> �� <br /> Cannection made the_�._dayof__ �-' �^ '.-ti�__191� Gxamined and Approvcd by_—�_ , '' �-' � � ' ,. ='.= <br /> �� ✓ 0 7 7�^ • � . � /C� ity Lngidccr. <br /> - � Sup�. ofStrcc�s�ndSeti�crs `' Iq .'� _� � r . (_�•.� .1'-�6:L'L�_�--- � <br /> _�.— > - - �- - —'�- <br /> B� � ��� . '�Li'.�-�-L;__Inspcctor ;:.,.�.n..`�. -. � ' �; <br /> � :. <br /> � ...�,.�..��... . <br />