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THE CIT�( O� E'�ERE"�T ; ::, % -' ' <br />Datz <br />Sketch of Proposed Sewer Connection for Buildin$ Siluflted on Lot-- <br />i <br />j -'' ! C <br />llivision or Addition -- — <br />No.—_ ' ' -rt--•�-�-----..:..: �.�.� Owned <br />J!;''� . , J';'J_�•=- <br />Application nnd Connection by <br />i. <br />r.. <br />l , ;/, � 1 - <br />Remnrks _—__ .__ ----- - - -- 1 <br />Depth oE Sewer ut Connec�ion I � __ <br />� ' I 1 ��'i� F �r i, �•. �c�' <br />}�'�. T <br />I ��! <br />� �s ,3s?�- <br />Licensee <br />I <br />lJ.•Iv a . <br />dn of % i =192_l Eanmined and Approved by. � c��v e�a+��•. <br />Connection nmde the Y — , �; <br />' i': <br />Supt. o[ Streeta and Seaers BY �—�--= �' <br />i <br />� <br />