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1 AlL V1T� �1.` ��T �`e��r�,� <br />Sketch of Proposed Sewer Connection for Bttilding Situated on Lot__________________________ Block.________________________ <br />, r -. <br />---- ' ,. -_:� _ . <br />Division or Addition____________________________ -- <br />---- -------------------------------------------------------- <br />_, - ���� �'� ,. <br />) f- <br />No. z �J--�----�-%------------ �`---------------Owned by -----------'---- =------=---_- �,,-�-=--------- <br />A_pplication and Conn:ction Uy-------`---.---------------------- -:--�---------------------------------- - Licensee <br />Rem:u�ks ---------------------------------------------- <br />------ --------------------------------------------- <br />Depth of Sewer at Connection I I I I <br />ri��J. <br />'";_. <br />, <br />,. y� <br />; - - -•--- ; — _ <br />. _..___._..____._._. . ..��.:� . . _ . __ _.;.. ._ ._._._._�'..— <br />' .. . / . _ ' ,v . �' � i <br />� ( I � <br />Con ection madethe�_r� __dny oF______.� ___._____1�J1� Examined ar.d Apnroved by_ ________________________ � <br />-�1�� � il_��L �'��� ___Su t. of Streets and Sewers Cit En neev. <br />/� P 05555 9 �' , <br />���� ��,i�,_Gf f�-�-----Ins ector. g . <br />Y-->-% % - �------ p y-- - --------------:------., --� r <br />---- <br />�i I' ; ../ <br />-- -------`---=-- % i I i <br />,-----��-- __--- <br />