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THF CIT`�' C7� EVER�TT <br /> Date nCf��r•r 1�, /R3g <br /> Sketch of Proposed Sewer Connection for IIuilding Simated on Lot — / -- Block—�—�� <br /> ; Division or Addition �n��f� � n�i�a` ./�/ 2��� A��%r'a4 y!��P�:�._ <br /> � No.�n� �n rs� Owned by <br /> : ti <br /> Application and Connection by�/Stl1 Ltcensee <br /> Remarks: Br�'na �r� `����`rA oF hnu�P o� an/1P�t�nY� -- <br /> � Dcpth o(Sewer at Connmtion I � I I � <br /> � ' �7 <br /> . `�-� � ��i 1-�� ,��e--- � <br /> � <br /> ,;. ,,. : <br /> . � � �.�� � <br /> : , �, , .-, -a: <br /> �,, <br /> , ' �`tf .%` � ' <br /> �� - <br /> , r <br /> 1 b J,: -`, �. � -;� <br /> �" � <br /> i � � <br /> —I --- - - � <br /> � 1�-�g � <br /> J ,, / /� <br /> Connection madc thc�day oE ��r�'��"�" —19�$-. Examined and Approved by�lz. �tUJ�-- <br /> /L 4�i V �/ tq. c�n�����., <br /> _Supt.o(Strce[a and Saeas lly-. d 1i'��-- -. Q Y� --- — <br /> Q ✓ <br /> "'��' ..� -�� Inspccror <br /> : Uy—� -- .. _.__ _ .____ _. .__ ___---_. <br /> rs aoon�ea�.a��wx anv� <br />