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THE _IT_ " OF EVERE 7T <br />Date /4 axtL <br />Sketch of Proposed Sewer Connection for Building Situated on Block <br />t� f <br />Division or Addition <br />No. -- O Owned by T� rn� '� ma .► <br />Application and Connection by / �� ��zAZ yy / --Licensee <br />Remarks:----- -- , (%Q 1 �Y �G /mnor.� /U . -hr4-Z t6 --- <br />T <br />Depth of Sewer at ConaeeNan <br />zaL ' <br />.�� .... • M.\4Yt t0 <br />1JciG1 <br />