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THE C1TY OI�' LVTI�.FTT <br />_ ----,, <br />8ketch of Proposed aewer Connect:on for Ruildivg Situated on Lot____________________' ____._ _ 81ock____________.__________._____ <br />Divisio�a•Ad9ition----------------------- -�-----------------�---------------------`------------------- <br />No. ---------`---�`---------------------------------=-"'- ----Owned by ----------- � � <br />Application and connection by___________ - <br />----------------- -----.. -------------------------------------------- Licensee <br />R.emarks ---------------------------------------------- <br />- ------- -------------------- <br />Depth of Sewer at Connectimi j � I ' I I I � <br />J � �-� <br />--, <br />� <br />i <br />i <br />� <br />� �1�� , � � <br />Connectianm¢dethe___�__dayoc__����-- 1�J11'_ Examinedandnpprovedby_______.______ • <br />------------- ---- <br />--- --� - ��, /�/�----�------ :Supt. of Streets nn�dSe�.�sj BY-'r- ; -------------------Y---�. eer.. <br />� /�' . ,,{n . <br />------ <br />��y__-{1-�'-��=`-`-"`� - -------Inspector -------------------- <br />----- 1 - — n-- - <br />;� <br />