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THE�,:;ITY OF E`✓ERA" ✓� `� i�T <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_.__Block <br />Division or Addition— _l " C 7 �:?�t /<<:: �~/ r±•r. ` ", _ <br />Application and Connection by <br />Remarks:__: >�.1. <br />Depth of Sewer at Connocllcn I <br />—Owned by- ��`"t�tl:l:i.OQ/- ---- _ .. <br />fly <br />423 <br />---. -_licensee <br />tl r <br />( <br />r <br />XI Lt j� . lC �l..4C'LL4. <br />Connection made the. -,I a -_ _day of�._. _ 19 G f 'Examined and Approved by <br />City Engineer <br />-----__Sup,. of Stroola and Sewcra By_ <br />1p __—Ine octor p 7 p p Go — <br />