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�HE CI'1'Y OY�' ��T�I-��TT <br />- - - -- <br />_, ., - <br />Sketch of Proposed Sewer Connection fa:' Building Situated on Lot_______'__= <br />-- <br />------------- sto�x------=---------------- <br />.. / t ----------------------------------------------- <br />D'.vision - --- - - - --- "", <br />------ <br />- --- - -- --- --------- - <br />----- - - <br />. , . < < � r � -------�--`- `�--(-------------- <br />No. _�---'�-=--- --'------�-------Owned Uy ------�`=----_,----- <br />--- --------------- <br />� • , •-- ------- Licensee <br />! ' ----------------- --------- ----------------------- <br />Applivation and Connection by_____�---`_--------- <br />Remarks ------ ----------------- <br />------------- <br />-- - --------------- - ---- <br />-------------------------------- <br />Depth of Sewer ut Connection � I � � <br />-- - - - -- I • . ' : I� <br />- _ -- <br />_ - _ - i <br />-_-- - � ---- --------- --- � - I — <br />--II—_.-. --� ---- -- - ,. <br />„ <br />� ^ � I'% -- <br />Connecti n medethe-- -% --day of---I_� -----------131�[_ Examined and Approved by-_----------- ---=-----_�-��--- <br />,j � __._��d_ �c-------- P • Cit E neer. <br />�c /J_��__ '^" �' _Su t of Streets an3 Sewers Qs U 3% 9°gr <br />----- - _ <br />% % �� . �_ , , <br />� t- � �--`- -t-_-�- ��L-----Inspector. B7---�� � -.- _- _-�-- <br />By_�..::� -L-- <br />� �j i •' . � <br />---------------=---= ' ---- -- , -i--- <br />