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THE CITY OF <br />Sketch of Proposed Sewer Connection for Building Situated on Lot - <br />Division or Addilion <br />No.- <br />:21 =- {- Owned by <br />Application and Connection by . - <br />R emarks _ __ <br />Depth of Sewer at Connection I I /Df / 6 � "41 <br />EV E R E`I'T <br />0 <br />I <br />Block_ .:9-3 6' <br />Connection ma the d�aiy of —�/ __ _-_ _ 19/� Examined and Approved bye / _ <br />/� Supl. of Streets & Sewers. U b,+ City (fngineer <br />B� Inspector Byv <br />Licensee <br />0 <br />