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� .. . 1' ' i. �� A'� V _ �_.�. , .- '_ <br />' •-- ' <br />aicetch of Proposed Sewer Connection for Building Situated on I�ot___%_ �___----------------- Block_ ___-__------- _------- <br />Did,sion or Adr�ition________________ ------' <br />-------------------------- ---------------------------------------- <br />- �--== -----= _. ,..,, , , <br />No..? - ------------- � -----Owned by ------------------------------------'---=------ <br />-----_-�`---------- <br />Application nnd Connection by----------=-'-----` ------------------------------------------------------ Licensee <br />Remarks------------------------------------------------------- — - --------------------------- - <br />Depth of Sewer at Connection I I I <br />L <br />� <br />i <br />(! <br />P <br />__.. __..__ _..._ . ___. ._ _. ...._ <br />._ __.__ .._. __ .. <br />.__ __ . . . _-. .__ .. _. .__. <br />� <br />�_ _ .�._-_._- ___ _ ".'_ <br />I <br />I <br />_.- .-_' _- -I'- <br />`\ � /� ___191'i_ Ex¢mineil and,A roved b -------------- � ------ <br />Connectionmadethe_l_____dayof______!_� �_:___ PP Y-------- <br />________________________________�________Supt.of Streets�,nd Sewe[s Q 6 6�? 8 City Engineer. <br />� � i � ��� , , <br />BY ------- � . , r --Inspector. B7-------- ---`----- -----------------=-- <br />______________________:�_.:____________1___'- <br />