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THE CITY OF EVEF.ETT <br />BI k ' <br />Sketch of Proposed Sewer cancelion [ B Id Suuated on Lot _ oc <br />Division or .�ddition _- <br />No._ !(9Q - <br />Application and conn ion by <br />Remarks — ---- - - - -- <br />Depth of Sewer at Connection <br />or <br />u mg -- <br />Owned tny_ <br />�1 <br />I <br />-1 <br />Connection made theay of 1 Examined and approved by - <br />of Streets and Sewers. (✓ 1 .i By <br />Inspector. !y <br />t <br />