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�i'IIE G�'I'� OI�' E'�TEF�,ET'� __ <br />;...etch of Proposed Sewer Connect:on for Building Siivated mi Lot__<c__________________________ B1ock_____-_______________--..-_--- <br />� <br />Divis�on or Addition - ---- �---- - t` - --- - - -------- - -- ----------- ----- - -- <br />C --- <br />. `,_. ,. . �-'L , <br />. <br />No.__ ._ '_"_"'�- ' �C`L� �---'-` ,d,rOwnedby �__ ' , -- ---- <br />----- ---- - ------- ----- -' - - - -- --- ---- ----- ------ <br />A lication and connection b � � �� � ' '-'- <br />PP 3'-��-----=-==-`--------=--- -----�'--"---------------------------------------------- Licensee <br />' i <br />Remaaks----------------------------------------------- ------- --------------------------------------------- <br />Depth of Srwer at Connecticn I I I I I I � <br />-- - --- ----- - - ..J � <br />I <br />,� �-1-� -v'.��l-C- 'f-C�� `.. -L �,) <br />� � ���✓ � � � i ��C �y�. �� 1.l �,. � <br />�� � <br />. ..��Y`�q �-1..�1� .r.`r--'� / � . ._ , � �� <br />I <br />..f K.�ii YV L.(:A�L�..L� r�� t_.tn_ L, a <br />�5 ��.� , ,i ,%i, _ ���6 .�, �-' <br />`., <br />. �'�--r w-'=�,-� -�%v. <br />� �'�-�.i����.,-,._�:� ; �� <br />� � ,. �� <br />x <br />I ' <br />i '� <br />I � I ' i .l � <br />,: ; ,,.. <br />Connectiem m�de the___� _day of______ � _1 -- � P1 . i _ ` ' � <br />/ '" __ 1�J1� Exnmined and a �roved Uy -�� . � r-._ _--.. ----- <br />�/,� �I77Q� / - � City En, ncer <br />�/'/_ �_ v C�_/_�_ L_____` Si�pt. of Strcets and Se�vers �� 0�� � <br />--_. ._ _• '- <br />�7 � f% _ - - - <br />BY---"-.�-`�-""�-'--.-/��/ �Q------Inspector - ---- -`- ---`---- ------- : _ . ..._ <br />