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THE (UTY OF EVERM <br />Date�Af G 109 <br />Sketch of proposed Sewer Connection for Building Situated on <br />Division or Addition—_ �1Ir �RJ Wll'� __._ -_.__ -- —Block_ Y-f <br />No.— _ a�/ 3 i �aii i ✓• ... ----Owned by --- <br />Application and Connection by s1+ Or % _ <br />Remarks:------- - — --- -- .1 --Rec. #—//9 -3 3 -- <br />Depth of Sewer at ComMlon <br />C4.�&f , <br />I I I <br />.9 <br />IV _ <br />Connection made the. _1--day of__ �� _19_. Examined and Approved by_ <br />Ea i ser <br />rrryvvv� 9 <br />Supt. of Streets and Sewm By— <br />