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�r�� CI'I'Y o�` �VERE'�T <br /> - -,-; - �. <br /> Sketd: of Proposed Sewcr Connccticn lor Building Situalcd on Lot__---=--- ----- B�ock�_ <br /> Division or Addi�ion —� - . - <br /> , , <br /> , _ „ � � <br /> � . -- ' =-� , c —_ � �� � --Owned by._ � i _ , . <br /> No.— -�-- _ — _. ____ ---- - <br /> � ' i % —Licensee <br /> Application and connection by � =-�`�-- — - <br /> Remarks_ - <br /> Dcpth o( Sewer at Connection � I I � <br /> -- - ----- - I , �' � f ` � <br /> I � <br /> c <br /> �� ; i <br /> t1,' � . <br /> �\ . ,,• <br /> �I- -- —�_{3�—_—=-f� <br /> i� <br /> In j - <br /> �v� <br /> . � _ <br /> �cr� <br /> _� <br /> ,L <br /> �� <br /> I \_ �' ,�L--�- I <br /> 1 1 . ,' �'_( .. - �;' <br /> � I <br /> � I ��� �- r ,/� <br /> Connection madc the��day of °-�� � �'190 � Exumined and,approved by L ' "�V � "' �' ' <br /> , f . � !� � ' /- Gity Engineer <br /> � . . Q2i'Q f 1 t..:': � - . .:.-C. � ! � . ...-...�t..• <br /> - <br /> __ ___._ _______ _____ __ _-__—_Supt. of Strcets and Sewcra. y , , <br /> � ' , - ; - : , <br /> Bv - - - ---- - - �- . . _Inspector. L`', <br />