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+ `�'� `��:� �� �' � THE l.1TY OF EVERE" T J-, . .� -� <br /> -��. � �c� �' Date �✓-�'c �. ,,�t ��'.�' i� <br /> �.. <br /> .r y�� r� <br /> •) 7.'. - �%T" �- � � il'I- t�' <br /> Sketch of Proposed Sewer Conneclion {or Building Siivated on Lot_—_.�---- Block_/C�L .r �✓r�, <br /> ;;� . r--- <br /> �'- ' " �.i•ic, <br /> Divisioa or Addition__—_ __ � �� �� � �� '�' � __, <br /> . .� <br /> n <br /> No.— i% � �', . ; ..�!'e'' � � —Owned by_� ',:ri _�—` "•r'"'� '1--- — <br /> :, . . <br /> ApplicaU�n and Connection by_ '�, f�'� '� '-=� _—,'3`�"''�����'��------—Licensee <br /> Rem�ks:---- �r� : i ,li . -1.L__•>C_i',�•—._t- /(a , � ��c v — <br /> Dapt6 0l Saaer at Conne_tlon I � _� � <br /> ;\I i <br /> � i � <br /> t ��, i <br /> ��:i ��<ti_ �—�i:—� t� <br /> � <br /> � <br /> (V <br /> � <br /> � <br /> I I <br /> I I \ <br /> i � <br /> . r t� . <br /> � AaiS � 1� � �`I. <br /> �'`� i '� <br /> : � I I <br /> I ��-���s � � � <br /> � � --._ . _ � � <br /> �c ' . <br /> Connection made the1�_�—_day oi_�l�- `-� -=� " ` 19 �—". Examined and Approved by.t�_.—'--1�. + <br /> ' � Clty Ei�lnccr <br /> ` �,. -� ��(.-�-,.T � � � _ ' f _ —. _ <br /> � �_,�__ __Supt, 07 5lreoln and Snwere By_-.'i.'--� - <br /> . g 'I \ �.J�Ll'�__S�__—__ . _ _ _Inepecto[ - . / — <br /> Y � S309 � <br /> .� .......,�.,�, <br />