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THE :1TY OF EVERF_TT <br />/t Date_ /-;-' r> 2• / / �fU / <br />3k�tch of Proposed Sewer Connection for Building Situated on Lot _- __y-_�`-�G __ __ _. Block_' •� <br />Division or Addition t // f % ,' ` '. // <br />_Owned by_/ 2�L _ - J u(J <br />Application and Connection by_ _._ / dr e:gOe cY—yyL«✓ _ _ _ Licensee <br />Remarks:-- <br />Depth of Svwur at Connection a L----- <br />l� <br />