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THE �ITY OF �:VERE�1 T Date—[_,'� A � /� � —. <br /> �� •�S , � — <br /> Ske[ch of Propused Sewer ConnecUon tor Buildiug Situated o�� Lot-_ �f���'� — Elock —��� - --- <br /> i f f� � <br /> Divi3ion or Addition ��="s�j C , -��r -- � — --- <br /> ;o. _2� _./ -�<':>�..�a,�.-( _ / — ownea bv /r� C'h� � �`` -- <br /> � , 1._ <br /> Application and Connection by_-_-_-- ��'--�` '_`- -- =------ -----Lice��see <br /> —�---- <br /> Remarks : ----- ----- ---- -- ------ <br /> Ikpih of Sewer at Conncetion �� �_-�� —�i � <br /> ____ _ / � , <br /> .. .._ __ .__ -___.. t' <br /> _�•� <br /> . � ; Q -�--i.t-_:`+ ±; �-- <br /> I _ / _— <br /> ( � ` � <br /> i � <br /> �,� <br /> I <br /> 1 i <br /> .� ���� .�� ' ry ��l <br /> _-- i <br /> \ � � <br /> C�. '� f� /S �� <br /> .- - . _ <br /> v <br /> , _._ ,�. � .� . .. � <br /> i -- - ---c---- - ---� <br /> � � ].043�� I <br /> , �� ;� <br /> Connection made d�e �' duy of ''' ', 192_. Lxumi»ed aud Approved UY �� �� l't-�'�`G-- - <br /> —f--'— � =���Y En6lncer <br /> __— __ Supl. of 5[reets and Sewers. By —._. _ <br /> ___—._.__ . <br /> _-_. �.�_. . . <br /> IIS'_—--.—__--'____—.___' ________Insi•.�.etoe --.— <br />