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I'HE CUL, Y ur E v l':iVi: -JIL x <br />Sketch of Proposed Sewer Connection for Building Situated on Lot__________ <br />i--- --------------- Block----------------------------- <br />/ -- -- -- - <br />DivisicnorAddition ----- =-�-----------------------,l------.\-�---------------, � <br />✓ Z Owned b -- - - - -i ----------------- <br />No. - --- - - , <br />y Licensee <br />Application and connection b---------- <br />----- <br />Remarkr — - <br />Depth of Sewer at Connection <br />J _ <br />Connection made the„34_day of _ 157 ;i Examined and approved by --.-- - -- � <br />___ - - City E ng.neer <br />i <br />J --s-"` — --- Sept. of Streets and Sewers Q % n .30� = f '` i <br />B -r <br />�/ /r _Ins Inspector _---- - -- --- <br />