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THE Z*01TY OF EVERL I"T <br />, <br />Date__ �_2L' sS <br />Sketch of Proposed Sewer Connection for Building Situated or, Lot- - Block__ <br />Division, or Addition— !7r -14 �sf <br />Owned by _ �hslnso� <br />Application and,Ponnecdon by M7 —raw r' <br />S� <br />Depth of Sawa at Coaoectfon <br />3 <br />A-&, tr. ctCcv-eit'�- y <br />U Y <br />censee <br />I I <br />.1¢4 <br />a`5 <br />