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i HL �i t 1. Vl� L• ♦� a�tit. �_"1' <br />Sketcl: c!' Proposea Sewer Connection for Building Situated on I.ot____.-. ___,___J��_________ _ B1ock__c____ ______ <br />� . . <br />. . :. <br />i ' ; % <br />Div.sion or Addition---_-------: - r i ,' , <br />-----�------ --=- -----------`�------------------------------------------ <br />, <br />r <br />-------------- _ _ <br />r <br />No. -------------�----------------------Owned by (, �; <br />--- �— �- <br />--"--------- ----= --=---------------- <br />Application and Connection by___________'___________..'_,. <br />Remarks -------------- <br />, Depth of Sewer at Cannection � <br />' � .�'1 �.�, ,: <br />- '-�— ` <br />0 <br />0 <br />r <br />� <br />--'-�--- ----------------------------- Licensee <br />-------------- -------------------------------------- ------------- <br />I � � <br />i ', ' I <br />: _. ; - - - — <br />i I <br />fl <br />,. <br />�: <br />Connec6i nmsuletl�e_1 ___daq���,C�_�1____._1'J1 ,S Esa,mined and Approvec! b�'�' � � <br />7 <br />________'____�-,;.-�._ <br />c-���c__ �� , i__�__-___Supt. of Streets nnft Sewers Q��}95 � / • <br />------ - 1 - ��-%a-t // X � <br />CBy_�111'_-t�a1--l.rf; _ ' 1i_11 _:1''4_Inspector. By_ � --- � �-`-? - <br />Cit En neer. <br />� — - ------`-- <br />---- <br />'. _ � <br />� l� � � <br />-- ------- . ,' %:�-- <br />_ ! __� _ __. <br />