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THE C[iY C7F' EVERE�'�f <br />Dntc. _ _`_j--• -- -�- - --- <br />Sketch of Proaused Sev:er Connection fur Buildin� Situated on Lot--�--�----- — Block--- �--1-�------ <br />�, � , _ _ ------ <br />Division or Addition - ' --- --- ; `- ' --" —�- ---- - <br />Ownedby_—�r-" .�> -- ✓ --- <br />No. ---;-----_ .. <br />I ( ' __. _— - - — Licensee <br />P_pplicution and Connection by �' ' ( ._ ----` •--""`-- --- "- — -- <br />� — --- - <br />Remurks: — -- -- - - - __ _ --__ <br />_ .— - <br />Depth of Sawer nt Connection � � � I <br />.. ( —_—_.. , . I _ _ <br />J r <br />� <br />--�------ —'I -- �---- -------�-- _. _I-" <br />r! <br />i � lls'�� I <br />� <br />Connection made the___��1ay of___�.-L_�_ --19��• Eiamined nnd Approved Uy c��v e�A+n�e� <br />_ _Supt. of Streets nnd Sea•crs BY--- - <br />) — <br />RY—�'L � \� 1. f' '�_Inspecmc — <br />� _ . ��� _ . — <br />� <br />