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THE C.TY OF EVERE-1� .T <br />1/ <br />/ %// Date JL) n/C 64- <br />Sketch of Proposes'. Sewer9/✓Con/nec6ouilding Situated on Lot Black__ % 3L-___ <br />Division or Addition_ ��VL51 4�(_ 11trTr� <br />No. �_�.� �!-�� O''`S �= IS� L —Owned by —``'' S = M — ------ - -- <br />Application and Connection by- �S, __ttLJ_' �A_��1�_ _ _—licensee <br />Remarks:_ 7 50 PE_ZM4-j-7r d M430 Z C.X.'S -�� T/0W <br />Depth of S.ver at Connection <br />I E E OL UC Przi tJT- <br />6+11�� _ /✓r9 s 5A 9/ <br />6��2�by <br />O FDIC t <br />77 <br />Connection made the µ day of _ _19" rExamined and Approved by_ r A! <br />� � �: Clly Cnqlneer <br />— B.M. of Sfreeu aad Beam Hy-P �-ew �,r'� 12A f_n `-. <br />