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> <br />�r��� c�T� ��' EVERE�r� <br />_ _---- <br />,�� =� � <br />Sketch of Proposed Sewer Connec6:on for Building Situs:ted on Lat__�t1�ln!_1_P _____________ Black__.______ ________,_._'" <br />, . / --- <br />.Division-or Addition--- 1�':��'` � rl:��' � o �: / i:l���i/%�/ �or��•�,., /Vpr �f� ----------------------- <br />--- <br />--�----------------- �--' <br />- -- ---------`-----------` <br />--, -' � . <br />No. -----------<�-��--------� � : /� _ Owned b �Slvar;�/� <br />-------------------- -- <br />/ ----- <br />9 ---- ----=A - - -F---�----------------------- <br />Application and connection by____________�r____ ��(/�/1//i!T _____________ ____ Licensee <br />� �.- - ------------------------------- <br />Remarks.------------------------------------------------- ----------------------- --------------------------- <br />Depth of Sewer at Conne�tion f � I I � I I <br />._J <br />�, <br />�.�\ 1 . <br />� I �� � <br />� `. <br />� �� �`e <br />� <br />� <br />i� ' � <br />Connection made the__�___day of____��%+-��-_[____ <br />---$ ------ ---------- =- ------Siipt. of <br />�' `' - f � <br />-- <br />3'—�--� —� _-�_- -%=''L�.�' -------Inspe��.,. <br />