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THE CITY OF ):!, v hKETT <br />Sketch of Proposed Sewer Connection for Buildint; Situated on Lot — Block __�--- — <br />Division or Addition_.__ —owned by —'—!— <br />No. <br />_._ <br />i <br />L -r' <br />Application and Connection by <br />Remarks: — <br />Depth of Sewer at Connection I I <br />I <br />-i— <br />V'�t <br />AI <br />Licensee <br />C <br />C <br />--, <br />Connection made theAf <br />_ sfap of 191_ Examined am Approved by <br />O I J S� O' f City �ngitteST <br />t__ <br />_ �Supt. of Streets and Sctccrs lSy--- ____v-�'-=.� S, ---- <br />By_ .Inspector ,,... <br />ti <br />