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0 <br />����-�.L crr�� oT�� LVLi�.Lz��r <br />-- <br />Sketci� of Pmposed Sewer Connection for IIui:ding Situated on TAt_____ ____________________ B1ock______ <br />Div:sion or �Addition---------------------------------------------------------------------- <br />No. --------------------------�--- <br />-------=-------------Owned by -----------------------`----------------- <br />Application and Connection Uy ------------------------------------------------------------------------ Licensee <br />Ramarks ------------- -- -------------- --------------- - ---- <br />--- ----------------------------------------- <br />Depth of &ewer at Connection � � I � <br />_ -_ _ _ -- - � .�;— —_. I <br />i <br />! ; i <br />'� <br />, <br />� <br />i <br />� <br />�I__ _ ____. <br />� i;; I <br />' <br />Connectionmadethe__._1__dayof_____c1L�_'t.r____1�31_j_ Examined and Approved by_________----------------='--- <br />� �;� ;.. /'r�-- 06722 <br />-. -----ti-` �-c=-. _�._..c<;_S`-+,--------Supt. of BLrceLs and Sewers City Engineer. <br />•; <br />;B -' : -------Inspector. B9---- --------- -----------' -- <br />�--' -- — — -- -`—�----`'-- --- <br />�r <br />