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THE (_.TY OFE`✓ERE) - Date ,)_,4ft' & .Li <br />Skrtch of Proposed Sewer Connection for Building Situated on Lot (g , —I S' 17 - -- <br />D1V1elOn or Addition_ <br />Q4Rr_©F aet/ pAIZ '' ---Block. <br />No. $Oq L�`�N D 9� V E__Ownedby�-a`T"-_�LC.ESTA D_ <br />Application and Connection by •- c� <br />"�' p M +T <br />Remarks: to _""—���A <br />Depth of Sewer at COnneCBan I <br />. J <br />`t Cewv. to <br />6' -a-A ILI <br />S P 9 <br />1 <br />r <br />C94 <br />V <br />Connection made the_ -/4=-day <br />OW <br />S .Examined and Approved by_, <br />2L _Ayf`_.A Engineer <br />Supt. of Streets and Sewers By-tBy <br />r — <br />253_ 5 <br />