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TH�. „I`['Y OF EVERE i T � <br />�a �4 �e / l% �n� <br />Skelch ot Propoaed Sewor Cenneclion (or Builciinq Situa(ed on Lol �d Da1� <br />J --<----- <br />Division or Addilioc� - - Hlock �- <br />_�/� r1 � _ ;i' -- - -- <br />AV _ �! r i( %SLk /��G Z <br />� .'- ' Fj' j . _. . --- ---- <br />No.._._ . , .c. -- '!1a / � /, ��i� - _ -- <br />- - 1--- --- — - - —Owned by /'i� �ril c,/ �'/ fo�n LSorj <br />Applicutina an�3 Connoction b � ����i� ' -- _ <br />�( u Y --_ ___ 4 /i� �/Kdiiisu.> <br />� -- — -- <br />Rommke:_�_ /% � �i /0 yi y - ! Licensee <br />. ___—__.___-- .—____ __— —_ . . __ _ .—. _. . Ni $L<%r� /,r r.rinr� .2,'• �An <br />.! � ___ _ <br />Depth ol Scner at Connectlon � � � �� <br />__—_.--___ I I , � <br />i <br />� Iy�_`.�. � f"1 <br />.� <br />Connection made !he 7 dap o1 <br />__.. ._._ . 7 _ <br />eY - �'(! J �!_� �.t.�,.. ,� <br />, <br />L� <br />�---- ---� I f <br />��r_� 19W� . <br />� . Examined and Appruved Ly_ __���✓ �� %u.�. <br />_ Supl. ol Strocb ond Sowon ��t-� �q ���3' Enginrer <br />HY Wr� <br />� ' <br />_.'_. ______ ._--,�---- <br />Inepoclo� <br />19! 69.� � ---- -- -- <br />