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THE CIT-1 �;r �-, v � 1 Y <br />Sketch of Proposed Sewer Connection for Building Situated on <br />Lot_I_______iriaion or Addition <br />�------- Block---- <br />- <br />-------------_---- <br />No.--f- ----�-.�r` --- -'--- ------- ------- ---------------Owned by <br />Application and connection b \_ �! <br />_�_wRemarks _`=----_� <br />Licensee <br />Depth of Sewer at Connection 'To wq <� L o fo4� -- �/� L \- i�•��• - _ J <br />I <br />Connercttfoonmaaddene the_-4 <br />By ------ <br />day of ---- r� <br />I I <br />191 �_" Examined and approved by- <br />--- <br />---- <br />__ ___Supt, of Streets and Sewers 0%20�Y-''�- City Engineer <br />- ; — <br />__Inspector '- ' <br />