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0 <br />0 <br />__"__ �i �� � 'lJ � /.91_, JQ, `V" �,, � �/ Ji� � R, �J �.L _� <br />- __" <br />Sketcl� of Proposed Sewer Connection for Building Sitnated on I.ot__..__L__________________ B]ocic _____�__-_ <br />--------- <br />Div:sion or Addition----'---_-` `` �.� � _ ., / _._f�- _:,:.: r�.�.:� . <br />� , <br />----------- -------`-------^^------------------------------------------ ----- - <br />„ _ ; ,L —. <br />G �.v. _. � . : <br />'�S f �� . � � �..� . 1 . ��. . �)� -i <br />� <br />----------`--C=--------------------Owned by ----- =---==-------. r_,.:�-1;cc.5_-`S-'------- --- <br />o. ---_, -.,--. � �--------- <br />: ��� � �' _';-., .._ . , - <br />Application and Connection Uy------i--_�-=-------`� �--------:'--_--_--------------------------------------._ Licensee <br />hem:u•ks -------------------------- <br />Depth of Sewer at Connection I <br />i �..'• <br />/ � � - � - - '- `�- .'���i-- <br />t I I <br />I � <br />- . . . . . . _. _. .. . -----'--- <br />� <br />A <br />�� �J � <br />__C•___ . _l.�l�,�. ..__1 <br />r.____ __ _� _ <br />_�_ <br />� � � � � � - � .. �_� ► _: <br />,. <br />Connection madetho__� __day of_____ ._ _________1�J f_ Examined and Approved by____________'_ �_____ ________ <br />1 / <br />� - � �� � ��' r 05878 . r � �-- <br />_�G_ "_ �_ I �' 1� -� __Su t. of Streets and Se�,vera Cit En neer <br />y����jf -->� - �-�-----Inspector. B�_ :. , .. <br />�- �---- -- --- <br />� <br />