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'1'I�� GIT�_' OF �V�I���`�"T <br />- -_ _ <br />_ <br />Sketch of Proposed Sewer Connection for Bui]ding Sitnated on Lot__________________________ Block ____ - <br />--- ------- <br />Division or Addition----`---------------.------ -_--- )- � ` _� �' <br />—` - ---- - - - <br />/S �/ � <br />� �� -_--G.!--- �Y Owned by / , . --- - -- - - -- <br />No. ------ --- --- • <br />- ----- ---- =_ ,. <br />----- <br />- -- <br />Application and Connection Uy " ' ' <br />---- <br />----- --- 1 — --- --- --`-=- ------- - Licensee <br />--------- - -- -- <br />Remarks------ ------------------------------------ <br />--------- ------- ----------------------------- <br />Depth of Sewcr at Connection I <br />J <br />I � � <br />I <br />- i�; ' <br />.._ - ---------� <br />. ._ .._ . � ._ _ <br />I <br />. ''� ._._._..._._ .. . .. . ._ .__.____.... I <br />� .. ..:I' .____. . .__. _. I <br />� � � �� <br />� ' ..I'�...;' � � <br />Connectionmadcthe__/� _dayof____ _-J _191,� Examined and Appro��ed by_________ ' <br />------- <br />�� , <^ ��' ��� � � ----- =-----=--------- <br />=--%f=�-" -- .G��w f�'�� __._�-�; "Supt. of S:reets and Sen�ers QJr%,��� <br />! ' ----- City Engine�r. <br />BS-�---�-�--�—� �G �� <br />-�________Znspector. <br />: ,, <br />B7- — — ---=--------- � : ,., <br />i------------- ------ <br />. , _ <br />