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THE C,.TY OF EVERE�1 ." ;,. ;�. ' <br />Date�� � /�� <br />�T�-- <br />Sketch of Proposed Sewer Connection lor Building Situated on Lol �'� �!� -/_ __ -_- --- B1ock_ i- J_�.._---- <br />�i --� _ <br />Division or Additior_ _ ' S ' -_i_ J_-.' ' � -� ---- _ ��L_ _�='- <br />-f - � <br />No._ �� _�il-� L� --- - -Owned by_ �-�--=�-:�—� -- <br />Application and Connection by--_,—� ' ,�'O � u,� / ���z�,s't �>,., -i _ ��1��,�---------- --- - -- <br />r < r '� <br />Rem�ka: �� � J - - _ - -- <br />�5::�' ��� • i � � - t--lsJ_ %_v _� - - <br />Deplh ol Sawer al Connectlon � I I <br />� <br />G�� e�,��uLt�+>—.. t� ,w.-�,�. °�, <br />�1114.,�,., r / � � s,�',t.� �"" �}�t�Ll��-�:� <br />�-��i.�. �C � �� �C��t� �-�tu,..-f:. <br />� �� , <br />GV�.�%. La�l�tic.:.� ru-��.e�, ,/-� ' <br />` V <br />�b �l�lt�.1t_ A,��a.a.._.. . , <br />Licensee <br />� <br />� <br />Connection made the- �/ ��' _ _day o( _ <br />`,� �1�b,�r _ <br />' _ _ � �.L - i <br />BY - �-l1_ P-'^ �y - <br />� l_ <br />� /, ,J_ � <br />, ; <br />C, , <br />�-�-��� 19_�' �.. Examined and Approved by_ .-.-_�_� � 1-���� __ <br />, City Enqinecr <br />_ Sup�. oi Slmets and Sewere By_ - �..�!!�_C.4L�"s-:��— <br />i <br />'°���`�°` 19753 � <br />