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0 <br />0 <br />'I'�� C�TY ��° E�1'�.�.�"�"�° <br />Sketch of Proposed Sewcr Connection (or Building Silucted on Lot. ___ <_z- --- <br />Division or Addition � ' • ,.��:�L � -� _--� z�„ ---_ - — <br />No.__.�_� �� P- z 1''� _-s.�. y <br />r---------o,���a � <br />Applicalion and connection by ' i.'� �� ____________.___ <br />I r ---- --- --- — - -- <br />Remarks___�_ __�= _ <br />Depth of Sewer at Connection � <br />� .�, � � <br />---i=--'-----_ . . <br />�' <br />_ Block __��___ <br />�� , �__ _i <br />� -_-_.__. __� <br />, _ -- <br />- ��- ��,,,� r. ' �-i �-i � <br />y�. <br />; . ; � <br />, __ _ <br />� � . : - <br />-1 I I'i . � <br />Connection made the��day oI� _ I 9�-�f' Examined and approved by___ _ _. = . <br />—..`— -- <br />/ (///� / � / ' Cd} Lngineer <br />/ l L/�__. c� u_� t'�G� —_Supt. of Streets and Sewers. ��J � Jr g I3y ___-._ :��-�.'* <br />— - ,� �. - �'i tf� .J_._.. __ _`�✓ _ . . �nc��ecloe �/ :' � t' _:- <br />/ �- _ � - f _ _, __ ---- <br />� <br />i <br />