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� <br /> � T�iE �.� TY OF EVERE' . �' �� <br /> Date— �' �� <br /> 1-1�"- /,� --- <br /> Sl.etch ot Proposed Sewer Connection tor Building Situaled on Lot ;�. ':� _ __ __ _ ______ <br /> Divinion or Addilion_ _ f ��� , /, i!- , /_ :'i!�'�� . _ ✓ � _� Block _ �--� ----- -- <br /> No._ . _ .' ��,''. ' - ' :, . 1 . � _Owned by ; i �. /..,��r: <-i}- _ _ _ — -- _ - <br /> Appl[cation and Connectlon by--= —, f='. ��,'./�:�G'i✓� _ ---__ ----_ <br /> Rem�ks:- - - - -�= �c _ Aec. #_� 1 t' L n- <br /> Deplh oi S�asr cl ConnMlon � I I � <br /> J <br /> -�- ------- <br /> ---- -- - - <br /> H" �.w.,,,` � ` " �c.-�.t a�' .\ — <br /> �P� � 0 �ti' .�.=-1'n+.�: , I l <br /> S <br /> 4" Q Y� C S �.�+�- ,n.�dC. /-eu.e� ��i <br /> ^n v�- E�o-u,,� td �..�+.�.� R�a � <br /> �/I��c y C�1� �� � `�� -- {-- � --- ---- --- --� — — <br /> . '� <br /> � �`� ` � � <br /> � i , <br /> �, i _ - <br /> ( _-1_ <br /> ; I __� <br /> �• � � �i.G-•.w d� ' <br /> ._�'-A ° , <br /> 1 �� �� � (� /�f-�. . <br /> � iC�Q.di'.�M1AI� t.r"�a-L• li�� __'_ _ _.--'____ 1__—____—_ __ I"__ <br /> ______ <br /> ..___ _—_-__--__ - <br /> �. �/ � � < <�� � 1 I � <br /> L� � � _ � � � <br /> Connection made the i l� day ot - �""'�"�`� 19 �y . Examined and Approved by ' !�__ ' `_-���! <br /> �/ . -- .. . _ Clry� Eogin•.v <br /> o � Supi. ol Strneu UOd SIM�O By __�______— <br /> gy .��� �01c.� Inepecto� C.5��U ` ' _ - _ _ _. ____ _ . _'_._ <br />