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THE G� I Y OF �VERET �' Dae ��3 �,, <br />/ , Q <br />Sketch oE Yroposed Sewer Connect' n!or Building Siluated+Ion Lot._C' �� �� �L _ Block_ _�- _ <br />rr � i�'� i{�L'/l��,i./ LN� r'1"� r�.� <br />Division or ISdditio�__�1+ '�'—� j_. �_ ___�.._.__ � ��I`� <br />No.---` ���` �0 Z e W� rA" Y '_77` ,� — L Owned by. '✓'� o"��� �%' L/1-nl,�L�C _. <br />Application and Connection by "` ' —'' _�� �_" <br />Rem�ka;— /� � �'�CC_ � � �_ �� 5 — — — <br />Doplh of Sawor nt CannecLLon I � <br />J <br />�/-�' L�-u,vu.cx � �„-. Q:C � l c�..t�, <br />R....c �z�,�ty Q.,�.l, ��"',lw('_ru�- /1-�t,l <br />I <br />�� <br />4 -� , ro-a�uw.C'�� :J.«���. <br />��t:.t. .lt�.�;,_ c(-ti.u._... . <br />� `" ll y � <br />' �y �twy ���<<�:. I <br />I <br />_ Licensee <br />� <br />�; = � �—� � � � , � <br />�J ��.r•��.�r_�ti �3 V,�'� v'� <br />Connection made the. /_ ��t._ _day of_ _: _ . � _ _ _19_—_.. Examined and Approv�Cd by__�— / � � __ _. <br />' � � � /` � ` City Enginccr <br />,e <br />%"��F-L �e.i.�.r �'�_�..-�.��� - ._��, <br />_ _ —,; . . . —.. _ Sup1. ol Stroele and Sew�en By_ . . —__ ,�.__ _ <br />__— _ ' <br />� ^ (/�' � (� <br />HY.. ..` � _ ��'i•cl�_ . Inepector 213.71 � -_—___.— <br />