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THE GITZT o� �����.r�cT <br />Sketeh of Proposed Sewer Connectwn for Building Sitnuted on Lot_____ '_i ---- <br />----------- B�o�;� ---�--�-�=�---------- <br />Di��:sion or Addition---- -�-- =------------ ------------------- �--c.----' ----- <br />_r - <br />i' C. �' � ' .t_L� ----O�vned by ,n . _�� _.�_ c4a .-i�-------------- --- <br />- ' ` ---..<-'------ �- <br />, r, , .. , ---------- <br />No. --"---------------= ----- - -- - <br />Y � �� `^ -/ c--A-�-�= � �-� ------- �---------------------------------- Licensee <br />Applicntion and Cunnection Uy_____�---f --- Yv <br />Rmm�rkc ___'__'__'_'______ <br />------------------ <br />---------------- <br />Depth of Sewer nt Cornection I <br />r <br />I S� <br />� � - � � 1- c7 :'� �( - � <br />. i��:,t'1,� t� <br />�c�-- I � ' �. _ _ - - - - -- -i - - <br />----d�`�t---r � � I <br />Conne tionmadetUe�/_� y �_---------1�J1� Examined and Approved by____.__--_'___- -----='_-1-'-------- <br />:. . <br />�Ll?� _��r�a"`;- ___Supt, of Streets and Sewers OS�al ` City Engincer. <br />.� / <br />� "i!?` / <br />___�� _. <br />, 9�/ •, � ' , <br />� ��--- ✓----Inspector. B7-°- :^--r-''-'-'-'=------------ <br />BY-�-------- v�------ ----- <br />�- , ; . .. <br />� <br />; , ._-�-- <br />--------- --- -- <br />---- - ; <br />