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. . .. . <br /> �rr�� � � , .� _ rY �, � ��.I� rl <br /> Sltetch of Proposed Sewer Connection for Biuldinq Situated on 7�ot____. . . . . ______ _________ Block__._____ .�___ ____________ <br /> Divsion or Addition-------------------�--=---�--------------------------------------------- <br /> `, r � \ <br /> No. ------`----"----------�------------------------Owned by --------------------------------___----------- <br /> Application nr,d Connection Uy-------!-�----'---_�--------------------- =`------------------------------------- Liceneee <br /> Remarks ---------------------------------------------- <br /> , Depth of Sewer at Connection � I I � <br /> : ___ _ - -- — I I <br /> _- --- —i- <br /> � <br /> ;. <br /> �' <br /> � I <br /> ... ' � <br /> . � �- <br /> � <br /> i` . <br /> �'`��� _ <br /> � <br /> , ; i <br /> � . ` I , �� <br /> Connec6ionma�iethc_ ,��___dayof______'________ _19l"__ ExamineA and Apnroved hy___.___ __ <br /> - - ----- _..... <br /> : , a- <br /> • • �� ' ____Su L of Streets and Sewers � ' CiL Rn.baer. <br /> • ---- ---- . —�- ---=-`-=� --- - p � 06622 , , . y e� <br /> Y-- - ------Inspector. B�-� ' - -�- � , ; <br /> . <br /> B ------------- --- --�---------- --- <br />