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� <br />c/_ <br />THE C:�TY OF �VEREI I� DQ�B �� ��� .�'� r 5 <br />�f � 1.,�� ��/ <br />Sk;;tch of Propoaed Sewer Connec4on tor Building Situated on Lot__ CY. -�� — C' ��sc�_fJ--- <br />Division or AddiGo�R � J�, � i_ 4" �/a i'� �C�. __ ___ _�Block �' <br />No.-% d 7 4 � �� `� : � �' 1_� � 1 '�G __Owned by_ � ( i�� - �`�1 �;, �� f;�'-{:.. -- ---- <br />Application and Connection by—�A � � � ( A� �_ � 1 � %—�"�`-�-� ----------- <br />� ��� � <br />Rem�ka:_, O a� p C�M 1�----- -------- --Rec. #� 'T"'r :-�- <br />DepW ol S�aer al Comectlon � <br />a, "�. � � ,, -� � <br />`� •� , P/� � ��-�-�,, - _.i-w,�eez <br />g -, <br />, , <br />i. . �� . ' P <br />C� �.S.c.un-•-�f'-�- e <br />I I � <br />� � ./ <br />� ���`V <br />Connection made the. ��____day of___ _'��1.�4 __—___I9 �—>. Examined and Approved by_ _ <br />�. �J . � .:� �-1 <br />�- r � (� � � ! N � C� Engincer <br />._ Sup1. ol Slreela and �eN@u By_L. _� S� <br />_. __—' �__--_____—_____—' _" <br />____ —_ <br />By _ � �.:�_. `,.L)G�T-r�1�_ —_ ._. _ __. In�peclor �+ V U � ! , — <br />.:7 i. <br />