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7,�IE GIr�,� ���, J�_i � Yiy��_-_` -- <br />� <br />� � �;; _ <br />`'--- -'----- aloo,c - ---- - — -- <br />Slcetch of Proposed Sewer Conn;etion for Building Situated on I�ot___:�- .-__- -� - <br />-=-� � � --------'------.. <br />--------------------------- -- <br />Divisimi or AddiLion----.--=-------------------------- - r , <br />i � - � <br />, . : : . � ; __O�vned U .. . . .' -----------` �`--------'-------- <br />.� . � ----------------------r---i ---- y -------------- <br />o. - -'--::-`---- <br />------ <br />+ .__. --------- License� <br />Applicntion and Connection bo--------------------��-i ----------- -- <br />--------------------------- -- <br />' ----------------------- — - <br />Remarks ------ ------------------------ - <br />---------------- <br />------------------- <br />Depth of Sewer nt Connection I �— I ' <br />- -- — /��-- <br />/. . <br />j - <br />d <br />�� � <br />I <br />0 <br />u <br />._.,_._ <br />', , � ! <br />G <br />� � - � ..,i. -� <br />---tn7,f__ Exammed avd Approved by,.;__---_.._ <br />-- <br />Connection made tUe_ __Q__�_dny of___ _�--- , r <br />yf�}QL _(�(�i�_________- __Supt. of 9treets and Sewers 06577 �i� City Engineei, <br />_. _ , . <br />--- (''� <br />, ---=- �- - -- <br />B � �l?1-°�--irYa,�__��I�'c.0 --Inspector. B9- ,-1 ----- -- <br />, <br />S v'- ' ' <br />r ��' <br />