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����I]'. �,�_ � af'1' j�.�T�:��.��.�1:`��. <br />Sketch of Proposed Sewer Connect:on for Building Situated on Lot__________________________,____ Block _ ______ _._ <br />Division or Additian______________ / ' <br />/- -------------------- --- - -- - ------------------------------------------------- � - <br />No. ------------ ------------ -------- Owneil U :��' � <br />------------------ Y --- - <br />— ------------------------+ <br />----------- <br />_. <br />Application and connectian by---------------------- �-�,'----- -------- ----------- -------- Liccnsee <br />Semarks -------------- --------- -- — - — -- <br />---- -- -- -- ---- ----- _ <br />Depth of Sewcr at Connection � �I I I � <br />�� � i I � <br />i i <br />Connection made the � day of_ __ �i/? ___. lOL_. ExnminedandapprovedUy �___ ____ _ -__� _ ____ <br />, . . ; City Enginecr <br />_- r_ ,_i��._ __ Supt. of 8treets and Se�cer�s !��'' 1 By ; y ' <br />� <br />r---- - - = — � --� - -'-- - - <br />By _�r.---- - -- -- — Hi�pc:tar _ _. <br />