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THE, U-11- _jL 011 �. Y- -a .�_ , <br />Sketch of Proposed Sewer Connection for Building Situated on Lot -------------------------- Block----,! _____________ <br />- ,-=---------- Division or Addition--------"- - - - - --- ----- - - -f - - -- - -,---- - - <br />.;, L ' - c-'.: _ . • .,,:.• ,� _owned by -------------- � ------ <br />Application and Connection by____� __._4=_.___--.'_l-_�_L15=- ---------------------------------------- Licensee <br />Remarks ---------------------------- <br />Depth of Sewer at Connection I I <br />Connection made the daq_L1_�o"L_____191.f_ Examined and Approved by <br />4--- <br />'------ - <br />LCa ________Supt. of Streets and Sewers 06690 City Engineer. <br />- --- - -�-/ -----/�' <br />By___bj 9c'tEt�X�ICy�[�EQ Inspector. <br />B7---------= -'---.s--_- <br />