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� ia�. ���i � ur� l�: v �RE'1'T <br /> -- -- --- <br /> Bketch of Proposed Sewer Connection for Biulding Situated on Lot_________________________.. Block___________________1;�___ <br /> Divisionar Addition------------------------------------------------------------------------------------------------- <br /> i , ----Owned b -L_-'-=------------- <br /> No. --�-''--=------- =---------`----------------------- � ------------------------==-- <br /> Application and Connection by--I----------------•----------------------`------------------------------------ Licensee <br /> Remarks --------------------------------------I---------- <br /> Depth of Sewer at Connection � I I � <br /> , � ' ! <br /> -�-�'-y---=� - . � � <br /> , <br /> ;__--- - -- -- - - � <br /> , <br /> . , <br /> � � <br /> � , <br /> � � �� <br /> : _-- - _ -_ � ;=:== -- ;- -- __ _ _ _--- - - �-- <br /> ,, , <br /> � , <br /> � <br /> . <br /> i <br /> . <br /> � __ _ _ - - -- ------ ___ _ _---- -- �_ <br /> -I I <br /> rn � ;_ - � <br /> ----'=J-----swle the_�_J_�day of---- -L1-_'J----..191�_ Examined and Approved by-----------------------------� <br /> Connectian m <br /> 1? � ';/, / 7 06750 <br /> .,_�___c ' ___i_7`_i____«_____Supt. o: 8treets and Sewers City Engineer. <br /> '/ Ry-1;�----- �`"Q---------Ins ector. B <br /> ---------�-- P 9-----------------------------------_---- <br /> : ,_; , . , <br /> , . . <br /> � 1 'f _� '" <br />