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� <br />-.'o] .PfGi}x�n ' ,tf� 3y4i .. <br />h A .R <br />. . i :''f:,i�i ' � 7 ^_ <br />> J} <br />h. N'�',i°t at Y ( • <br />( � ��,�.d,.. S �� Yri.� S( i� . _ <br />i^` �i h�n s 4t rx�� 's�M, �� .,,'r t,. <br />�x'k � �}{u n �_' t��; <br />� I �' ��?',�« <br />. „r� ,. <br />�, <br />. �,�� b� `F . +. '. 3 i`.VS� Fi ' k <br />.�. s °�r 3� & �i q .j ,� <br />� � .a ,��"�'' � z � �.'. �.� r <br />� `" 2 i <br />* � , . q, . + t�r ' . <br />t y� ,'' <br />} '; , <br />.�r.^? 4�,7� ' '.i�5ti{f ." �' <br />.. a. ...- .._.. � .. .. .t.r: <br />• � <br />.,,�;,�s �� - �, THE GITY ('�.�'_E�_v_„�'.RET� � ��'._� : <br />, — ------- <br />_ . <br />8ketch of Propoaed Sewe, :;onnect:on for Building Situated.on Lot________L�_____.____________ Block_____G_L_______________..-__-- <br />, , � ' � i. . , <br />; Division or Addition - -''-1-_L.:.---x-`i_:-u �---= � =-1=j- --. ---------- -- - -- - - --- --- � <br />. - r - <br />; No. �-�� �1'��'.�'-_ ---------:« <-t �'y ----- -Ownedby_ / • , a� . `- ------�- �------- i <br />� ------ � ---------------------- Licensee <br />. J �_ �__ f <br />: Application and connection by-----= -! --r--'---r� �-=`- -` -'-��-----------••-----------'----- + <br />Remarks --------- ---------------- <br />Depth of Sewcr �t Connection <br />� <br />, <br />----------------------- -------------------------------------------- --- --�-- <br />J l�I�I � � <br />I ti% �(• _ <br />-� <br />� - ,., <br />-1 �wl <br />�:1.. <br />r� <br />. ;. <br />� <br />�_'� <br />: Connection made tt�e________day of________..__------- 191__.. Examined and approved by�_______________________.____-__-..-..---- <br />: , O'7 9 4 8 City Engineer <br />� ----- -�—�--���,--------------------Snpt. of Streets and Sewexs By---------------------------------- -- - <br />: BY--- ': � . . , . <br />-''-----------�-�----- �- � -,..�>-_=Inspector -------------------------------------------.._ <br />'\ N <br />�, <br />,.„�t � � � <br />� <br />