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� THI� .:ITY OF �VERE � Da�e �- � f��� =�; �'°-�" <br />_r 1� „ �, �;� <br />Skalch,of Proposed Sewer Connection for Building Situated on Lol- �="%—'"=�-�J — Blo�k -�---- <br />i : <br />��_ ���__-- ' <br />Divieion or A3dition— � — � ' -fi'v �'"a �,+� __-- <br />i.;:. ,ic'�' L- ' <br />� � . ' i i �/ � Owned by— <br />.__ N; ; N , . �. � <br />�, _1.icensee <br />No.--�T-.—y_----- ' � , .: � . . � ;,�_— <br />Q.— — _"—__ _ __ _--- r " l <br />Applicat` n anri Connection by-- . _i{� rf .� - �'' � ��i � �3- 1 ` a � -- <br />! � -- - - � � <br />Rnm�ks:_ � t- .--=_ � —� <br />DepW ol S�ae� at Conneclion � I <br />�V <br />F,.,�e�.._ G <br />, <br />,z�; � �lU�.r �� <br />')lt�.-iti,�u�(._ .�� <br />> J�r;,�. �� 7�c-t��. -e-�f- ``_ <br />!1���l� ��e�.� l-�'L �-�° <br />� , :- 1, <br />� � i J,,_t:�` _ 19--�. Examined and Approved bY--'�' j� � Ciry"� 9nea� <br />the_-1—day of— — --� _ <br />eY_. _,J.�: �, <br />�� � "� _ __ ____ _.__Supt. ol Street� und Sewere � <br />� _ .__ 1�J0.� ..�—' <br />