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0 <br />LR.E'1"�� <br />� r� . <br />t� <br />% <br />Skntch of Proposed Sewer Connection foi• Building Siti�ated mi Lot____ .�__________________ Block._ �_!______._.________ <br />Div.sion or Audition______ __`_ ''- <br />------------------------- --- ---------------------------------�------------------ <br />No. __ �_�._i----=----- --- -=- =`�/'� ---------Owned b - : { � � .• (. <br />-- ----- - - --(- --- Y ------:_.�-----== �'_ '---'----------- <br />-- ------.. <br />--- { ' I - <br />Application and Connection Uy-------:�-- J-3J__--.---'-------- r----------------------------------- Licensee <br />Remarka----------------------------------------------- ------ ---------- <br />Depth of Sewcr at Connection I I I � <br />L <br />i <br />r' <br />, <br />` ', • , ( _ . , _ . <br />� I' '. <br />.) �� � '�� � � �' <br />Connectionmadethe ,,,1__dayaf--- �-�'--�-._-.__�nts._ Examiued atid Apm�ovect Uy-- �_ :.�.� '.' �__ <br />/ , .i.. c <br />I V <br />; � <br />----. �1_� fl 1 '--�-`C� < -�`-�- Supt. of SLreets o,nd Sewers . __ -- ' y � • . <br />/ % � ) i / fi -=-- — <br />l Hy_.. j,---;_' _`------.— ---- :-- —Inspector. � 5B ' ; , Cit En,neer — <br />