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u <br />� <br />� ���.. �� ��r ur �v��.L.�..1. <br />Bketch of Proposed Sewer Connection tor Building Situnted on Lot____,.__,! �________________ Block_____,J/____�________.._ <br />Div,sion or Addition----------`--- ---------' --�----------------------------------------- <br />------------ <br />No. -----------------------------------------�----------Owned by ----=-----------------�--------------------- <br />Application and Connection Uy----------------'-----..-------------------------=-------------------------- Licensee <br />Remarks--------------------------------------------- — ---- - ------------ --------------------- <br />Depth of Sewer at Connec6ion � I I � <br />A <br />,J <br />, ! �. � i , ,.�. � <br />_ _ — I-- <br />II_ - . .. ... � <br />_ _ ..- _. __ .. _ .._.-__- � ' :' r <br />j --.-- <br />"__ , <br />f� Pl Y --- , : '`/:I'-'"� ' I '% <br />,� � .* � , . � , <br />Connectionmadethe_��_�___dayof__,�,__c�_�_ __S�Jl`r' Examined and A�roved b __�_.._t,�'_.__:,:_:;C_____ <br />-----= _ //, __ �«-, L:�t.c�— <br />h/-, � _Supt. of Strcets and Sewers OE'j ] S� City Engmeer. <br />a� � / , � <br />� By-- �fl''%sg_[ ��5----- ,, ;, f., �, p ••... { � � . <br />---------Ins ector. B7 — ---- ---- ---= � .;, _--- <br />. , ��1 <br />