Laserfiche WebLink
a r <br />THE UTY OF EVERE-T <br />Date_¢_ <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_ / —_ Block_ <br />Division or Addition__ L& V y-, L G S 0,y I S/ o ti/ aj zl __- <br />No.— a ' 1% LC/ f1 N Pl. 4 C E Owned bye. WIC 5 O C/ — --- -- -_—_-- <br />Application and Connection by Licensee <br />y Remarks: %o :d <br />Depth of Sewer at Connection <br />(on b,._..._.- , 11--- /_ <br />lour,_, <br />4 <br />tal <br />Co: <br />By - <br />