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; . r � <br />Sketch of Proposed Sewer Connection i'or Building Situnte3 on I.ot _______________ B1ack_________-___----------- <br />,� �� <br />Divisionor Addition-----1�--------------------- ------------------------------------------------------------------ <br />� <br />-� C� � c \_ �4 � � �.- -------Owned U ,1•. '' , -- o <br />No. �-�----��---``- �-`- �---------- y ------------------'---='-""----------------- <br />-- =---- -t---`---- <br />---- <br />Application and Connectton by______�_.:.� _� ___ � r- ______________________ Licensee <br />--- =�--_�--------------------------------- <br />_ � �-1 �- <br />, -f , . _ .. '.- <br />Remarks��r .>. �--'------ r -`-'--''-f �r_---=-"-'----- ------------------------------------- <br />Depth of Sewer at Connection � <br />- -� '' . 7=�'-� ----- <br />I I <br />_;- . -��� ----- <br />_ ti�, _-�, -;. _ .- <br />— — ' — — <br />_ i .� -, --- �:� — — <br />���i � � i..T i ,-� {. <br />� <br />,' <br />� <br />/ I' � � � � <br />Connectionm�ulethe__J'�/_�duyof___�-E�_______S'J1S-- ExamiteQ and Approved Uy__._:_:__r________::__�___..__ __.._ <br />------- <br />_��'�__5�l��ill•-J___________Snpt. of Streets and Sewers 06 fj28 City Engineer. <br />ir�i . �%� �i-. � �..- . . <br />� �l/ ,; ��. i . .. <br />----��f- r- ,.c1 — r��-t, �sec--Inspector. B7-i-` -'-�.`- --- -------- <br />� , <br />, , <br />._- — -�--'-` j- I__` _ <br />