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THE k.;ITY OF EVERE a T <br />Dote_ e Y4 s, �/f3 <br />Sketch of proposed Sewer Connection for Building Situated on Lot_ ._�� 3- / Block____ r •' <br />Division or �Addition— <br />Owned by — <br />Application and Connection <br />Depth of Sewer ca I <br />, <br />_ _ Licensee <br />I I -_I- <br />J' <br />IIIJU1 <br />