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THE GIT�' ()1F' ��6TlEI�.E'�"� <br />Sketch of Praposed Sewer Connection for Buildin� Situated on :. ____ _-1 _ _____ Bloc]c___S� _�__C�_____________ <br />. . ,. . _ �- .. <br />Divssion or Adnition--------- G------------- ---------------------�----------------------------------- <br />�j . ' .. <br />- j , ��_'_ rTy _C�--------- Oa�ned Uy J�� �--� �- e i"i ��-- <br />No. --`_`--= 1s-`-'----- - - - ---------- -------`------ �'- --1----- <br />Application :�nd Connection Uy_____El___L��_ __�.�_xTC�_�/__s'.:_! __________________________________________ Licensee <br />Remnrks------------------------------------------------- -- <br />Depth of Sewer at Connection � I � � � � <br />i <br />� __. c�7 f"� ' ; �'-1 .; , <br />�' �-� y I � -- N � _-t-o ���_ <br />I <br />- - -- -- � <br />� � � •' -- •I I <br />Connec �on mr�de t e`� day of______ _�______1�J1� Exumined nnd Approved b}• ______ y_�__, �_'_<'= ' ic1_�______ <br />� ---- <br />___,�(/_�L�_ __���� ���`� ___Supt. of Streets nnd Sewcrs Q 5 e 8 Q '� ^vity Engineer. <br />(% /� ; � -�(/l%.�"� , � ..1. �`� l.;:. <br />BY�/� ------� ----- -----------Inspector. B�= �---'�--�-J=u"S`L-4----------------- <br />� _ � / ; _� <br />�--`---1-- -- <br />----------------- ` ---- <br />