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'I'f-!F CI"I'Y OF E�✓ERE Z T <br />Sl�elch oj Proposed Sewer Conneclion jor Buildin , Situa[ed on L.o( __ _ _____ <br />Division or Addilion �'�� � • ---- - <br />No. i �_ _ j , — —=--On,ned by _ i - <br />.i�PPlication and Connec4on 6y - (:ti _1"�, ` �' . ''. , t_ , <br />R emarizs - . - <br />Depth ojSewer ai Connec(ion I <br />-- - I <br />f31nc%--- <br />— Licensee <br />� <br />I I ' <br />Conneclion made (he��__doyof __�.�___ __.J9/.i Examined and Approued 6� _ <br />_!_� �����/ t�== <br />- —Supt. of $!reels G Seitlers. (�4H'7'; <br />J%/ /f� ��,�IiL jG � In peclor ` <br />/ <br />: <br />Cify F,nginee� <br />n <br />