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� Y, : . � j j 1 vr• ,C 1► L1�� 1 1 <br /> Sketch of Proposed Sewer Connection for Buildinq Sifuated on Lot_?"__ i�; Y <br /> -- Rlock_�"r 2 y-SF-, <br /> Division ^- "-"°�° - <br /> ,�.mm��_`--'-L--- ------ <br /> No._ i 3 - i � �: ----- - — <br /> -,�1�.. , _ __----Ownedby _�-�yJ_�,L.��,_�[.�c��.=.R� <br /> �, � <br /> Application and Connection b�• v(�, i JiI L'i/�,- l <br /> i�-f'J1/L"—_. <br /> -- ---Licensee <br /> Remarks: <br /> Depth of Sewer at Connection � I ---- <br /> �� -- — I � _ I L� <br /> .. _ I ,-. - �., I <br /> �� �;' �:'��c�.,.,� ;��,'�. J . � �---- --- .. .- - --I- <br /> , , 1 � I ��---��=--� <br /> �� ,,i <br /> j - -,��_�J.�i. <br /> � r <br /> : <br /> ,'� �� , (�� <br /> —� ---,;�+__ i�� e� �. '� _- , — � . <br /> � � � � <br /> Connection madr Hie.J��ayof___ -, t��,,.=�_ti��i1 Examined and Approved by.!_.�'_-i.L-� 7�t-+,:x� � <br /> � / O I �VC? �� <br /> —_— ---_.. . _�_ ��� , . �' . :�CityLnRincc{! <br /> '. . .__Supt.of Streets�nd Sewers f3y . _�.,.._,� >� ._— t ..r- f „ct,r_�.� y <br /> _ <br /> By___..---- - --- .�. . ,--�-���t .r..:'-Inspector ' . <br /> - ---- � — --�� <br /> — '� � � / - r <br /> .,,...,�,�„�.�,. , <br />