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c <br />0 <br />Tu� cTT�r or r�T�r�.��rT <br />- <br />Sketch of Proposed Sewer Connection fo; Ruilding Situnted on_I�oL_____ __ _________________ Blocic_ ._._-.:__________._---- <br />Division or Addition------------------------------------------------------------------------------------------- <br />No. -----'= --==--------------'----------------=-----------D���ncd Uy ----------------------------=------^=------------ <br />Application and Comicction Uy------------------------------- ------ --------`--- ---------`--=--------------- Licensee <br />Remarks------------------------------------------------------------------ _--------------------------- <br />Dr.pth of Sewer at Connection � I � <br />_ [ _ �._ _ —� �-- � 1 i i . ' ,-� � � !' <br />- ,.1 � _!_ <br />- I-- � -=-i— <br />I <br />i <br />� <br />�, <br />i <br />! <br />I <br />i <br />i <br />i <br />,�� -�--- --__...- ---I-- <br />��, . � . ��' � . ._ f -- . <br />Connection madethe__k-� �)_dny of_______.t._'_i_____1�J1_�_ Esamined and Approved by ______________�_ <br />�= ,`��_�/ �%�`' __________SupC. of Streets nnd Sewers �s%.rj2 CityEngineer. <br />-----,-` t-- -��r— �`—�-�- <br />�B3�---'—^'-=------='----------------..__Iuspector. BY- -------- --- --------- __•--:, <br />