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T��, cl�r�T ol� r����.E�r�r <br />-- <br />Sketch of Proposed 5ewer Connectiou for Building Sit:;nted on Lot_____ _________ _-________ Block_________ __ _____________ <br />Divisionor Addition-------------------�----------------------- ---------------------------------------- --- <br />No. ---- -------------------------- ---- . 1----------O�vneci by -----,'---- ' �------------------ <br />�. , . „ --- - , , -� <br />��j-----:.:��,.,-i�a ,- :/ <br />Application and Connection by------r-.--------------.;'_-------`-------------------------------------------- Licensee <br />, r..� — � � -- <br />R,emarks --------------------------------.-i_..--------------------- --------- ------------- --- <br />Depth of Sewer nt Connection I I � <br />; <br />` — ✓:� --,.��c <br />�/ ' <br />b <br />0 <br />�� ; <br />C,: — <br />I <br />__. _ -, , ._ -..��. . , . ��_ -.__—___. __ I <br />� . , _ . ,� ., . <br />Coime tionmadethe�___dayof ___ _�________191_� Exammed and Approved by _________, __ � _,-,,_ __ <br />; , �, � ���i � � �' ' <br />/ <br />��� ���%r���"" Supt. of Streets and Sewers Q 5'J 3� � � `�`y Engineer. <br />� �ny- - �-- �-- � � --- Inspector. B�- ---- -- ;"�_�-� �--=--___-.�- <br />_ � �� K�- _ - <br />-- - --=------'=--'_� � `: _-;-,- ; __,� - ,--- <br />� ��.._-� <br />ti <br />