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THE c:ITY OF EVER�+ T <br />�a_-3 - <br />Stetch of Propoeed Sewec Connecflon for Building Situated on Lot- __ 1� ► --.-- — B1ock <br />i <br />DivUion or Additio �� �2 --� t- '- r!� ��/ �'Z <br />��/��-`- ,Y, , . <br />No.--G►i i:i r-a� .G l..�_,r��,.L-�� —OwnedbY-�-l-���--�=`—�= G�1� 1�----- <br />i <br />AppIIcatton and CoaaecHon by-- '..�� f�' � l:' _('� �j•°, r-�--�'�------.---------- --Licensee <br />- ' -- !_-. � 'i..�, � . R P��,•, � r i .. �-.. ..ii V 4} \ [;.1 �"� {' i . �i--.L �/ I �7 _% I _ / �f � � <br />�� I I � <br />, � , � � <br />Mpth d S�w�r a1 Comn�e�bn i�{ ++ <br />�f �'r. ri �,�` '�i � r� . <br />• 1.. � <br />.��-'N' <br />0 <br />_"'��,� r� � <br />� <br />, <br />✓� <br />Connection made the.� 6� _day oi_ __ <br />- -�°'- �-`=�'-- - - � <br />-/p--,p� <br />BY-�--�- �i.:d�?S�'U(-'----- - -.. ..._�----- <br />u <br />d <br />