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"('HE G, �'Y OF EVERE"f . <br />Date /''�•rv��`• // , /%6,: <br />Sketch of Proposed Sewer Cennection for Building Situated on Lol___ S-�u �r"}-�7__-_ — Block-_� �:^� <br />✓rY� i <br />Division or .Additio�_ r�• �_".� � - � __-- _- — <br />q el�'� .9>. %nv / /�1� � ., <br />No.— �� 2T _ _Owned by---- - -�----- — <br />���cn�ut_o..I !�'ivl. .�c <br />Application and Connection by_—� —! — - . ----------- -- - <br />�^ , r.. <br />��8D7m'�ce: .J r� u ..__� <br />DeptL o! So�er at Comecllon <br />r ., , i <br />_� <br />i <br />;-�� � °�, � Q-s4..C. �-`�-�+'t'A' � Y � <br />.�L±u)' (�-,��'L�°-u-. <br />�� 7'� s.,t� ��-�-y <br />1. 3 � �-�t,.. <br />Rt.ui� O+-�.%. <br />�% ' ��� � � <br />6 �de'�c e� C „v-�. . <br />� r� � �� <br />_.- ! G^ '} 'v . <br />� r,;,,.,..,.�> . <br />'i�"'- l;�, A'. //'�`� L <br />� <br />_ Licensee <br />� <br />� <br />� <br />Connection made the. �� �_day of_ .- y���'''`�` - 19-� >. Examined and Approved by__���-fl �' •� ' <br />�-', .J- ,t�Cl�y Engineer <br />�'�(„___ _ _ _ Sup1. of Stroels and �Seware HY— �F ,' / C � ��`� — <br />rf <br />gY_ _— �.�_. _ _ ___._ _ _. Inepoctor 21050 � <br />;/ <br />