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THE -=1TY OF EVERE CT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_ �/'� Date —T , tia 3 /5q <br />Division or Addition /1i / *,,,/ f4Yl�ep /..f,v�,. --_--- - Block= __r &tC2—/ <br />it A. <br />Owned by tea` 4 4y,$ ._ <br />Application and Connection by — <br />Remarks: <br />N oo <br />N <o �nn►n /o — _____—JAcensee <br />Depth of Sews, of C eeetUoe <br />x <br />71&tta <br />61'-� AtA.L� <br />�ur.C.k.ky <br />L Y/ ,e/„ <br />(�i0 Q�dL. 4'm..-'�0 <br />'�0�. C. <br />V /,- /, <br />7 <br />Connection made the _day of __ i 5 <br />19� <br />I <br />Examined and Approved by <br />erupt, of Streets sad sewers By �, F ��/ S'Jty Eagleeer <br />SY <br />e� .......,r., r, . —Inspector <br />