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Sketch of Proposed Sewer Connection for Building Situated on Lot --- =a=— /'---------- Block__---' <br />Division yr -Addition--- -- --- ------------— <br />No./ ` -------Owned b - <br />__lc"- --= -- ---- <br />c4 io G ~ J �'rllk 1 <br />Appli lion and Connection by------------- �----------=-'--4/- <br />--------------------------------- Licensee <br />Remarks -------------------------- <br />Depth of Sewer at Connection <br />---------------------------------------------------------------------------------- <br />I I <br />ConnectlQu made the_ ! - day of______ --- C- _______1;11.�- Examined and Approved by <br />------- 9 1A- d- 6-�j�ji�___ _______ _Supt. of Streets and Sewers <br />B Inspector. 87 - — <br />City Engineer; <br />"�f�l `�---------- <br />