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�I3r rTTY o�, �vE� rTz� <br />z� - ��;_�� /�� <br />Sketch of Propased Sewer Connection for Bnilding 3ituated on Lat__ .N''_�='' �!__ '� `�� <br />------ --- Block-----'------------ <br />— --- <br />Divisian or Addition--- �-----�----- :.,�: .. . <br />- - -----------------------------`------ <br />--------------- <br />o. -------:.._----;---`----------- =--------------------- 0«�ned Uy --------� <br />1_`f-- <br />_1__'___`__�____ _`!- `__`__ <br />Application and connection by-------�-1,-.,: �-------f ---.---- ��-�----=-'_,----- --- Licensee <br />- -------- --------------- <br />Remarks ---------------------- <br />Depth of Sewcr at Connec6ion <br />- --- — — -- -- ------ ----- -- -- - <br />� �� I � !.� <br />I —_ _.__ — <br />� <br />' I i! <br />I <br />I � <br />� <br />I .r I �� <br />—_— i � <'. 'V <br />� � � I I�� 1153� � I <br />! Conneclion made tl�e________day of___7'_<c:i_'__'L'_ 10�1.'� ExaminednndapprovedUy <br />----- — _ — ----- <br />City Engineer <br />.__ --.._-------J-------r:_ ` Supt. of Strer;ts and 3c�sers By- -------------------------- <br />- , /l�-.----- __.._.. ...... <br />BY — --_=-------- � S --- _Inspector <br />