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0 <br />7'II� GI'��' �I�' ��TI�.IdT:�"� <br />_- - --� - - = ; <br />� <br />Sketeh oF Proposed Sewer ConnectioiLfor Bnildin Situnted ou Lot___,j_____________________ $]ock____�___________ ______ <br />i �_ / <br />Div;sion or Addition----��l.l� �'/�-� ' �; -- � „- = -- � ' � f --- y� [:1 - --- -- - --- <br />/ l � __'� _ __ __ � , �' �, _ <br />No..�� � � `_--�� ------ - '��L�� - ---Oerned by --- <br />Application and Connection Uy----------------x---------------------------=----------------------------- Licensee <br />Remarks ------------------------ <br />Depth of Sewer at Connectiou ( <br />i, <br />f <br />_� : i.,;.(; • <br />,' <br />---------------- ----------------- ---------------------------- - ---- <br />� .� I I <br />_ I <br />� <br />-- -� � - : � <br />--------- -.. <br />I <br />_.- _-- --�- <br />Connection madethe__ _..__ � ' � ' <br />� �- day of_______L__1______1�J1_':_ Exaimned and Approved by_______..__.__________________ '___ <br />------ \'-_--- !----�_______________________Supt. of Streets nnd Sewers 06720 CityEngineer. <br />;, <br />By---� �-------------�-------------Inspector. By--------- <br />