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� <br />� <br />�-' ,�,� �' THE � .1TY OF EVERE'. T <br />Date �:T'...� �j� /i',%, <br />� •- <br />Sketch of Propoeed Sewer Conne��°n ior Buildinq Situated on Lot. _--.-'—'-- '= �-- JBlock___ —�� <br />, ._. : � .�� ' : :'' _���J�_J �+' c� <br />Divis[oa or Addition-_----- " — <br />�,([ i=! �"t_�f �� r Owned by- - i/�;:- -..� i <br />No._�` r - - <br />Appllcatlon and ConnecNoa by �' , i- 1 t•.: i�� --- --- - <br />- • ��'�, � �J�a �� 1 � '� �' <br />wrm d sn..� � com.�mn I <br />J <br />Ri C1u��, 1hu�c �. : F.n:l1 , ��c:�. <br />��.k.�tP.t�.r..� � �1.f.c�; (;� <br />r1.�utit .tu.G� 't:c.u�.s� �.t_ <br />.I <br />�Il�.u,�., i�. flt.l_q ��.l.C- A-c.�-F1- <br />1 <br />�'lB.�,c.E.Qa..�- �.o �i{.�.�.�{-s,.t.<_ <br />�' <br />��a..�.i, ,,.LCu.�t_L <br />� J� , <br />ti��G...�. <br />�.r J ='�---- <br />__ ___ Licensee <br />11 'c� __...._.___ - — <br />I ' > � r <br />� , � ��1� '��1� I <br />I � <br />.d�� � <br />,S� ,� � �, i �, ��-- <br />� n� �.L� c.: �.�_u ..,, �' v <br />Conneation made the_ �' day of__ ---------19—. Examined and Approved by_ -' F�ty eny�n�c� <br />�l�. /� (-/. ' :. . �., i.t J ; o .,, �,�1.-,... <br />�/.i.!'-- �`«-:.�(v.�__---- Supt. ol Slcenl� and Seweu BY--;/�- - <br />_ ,. - i-- . <br />� , . . ,_ <br />r,� -- <br />Bp ___ � —}Q•_c.<�_ ____—_ _ __-_Inep¢cto� . ? � ��� � <br />. �•.�}.. �.,� . ...��, « <br />