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W,.I/ Q 0 , <br />THE UTY OF EVERE'. T <br />Sketch of Proposed Sewer Connection for Building Situated on Lott / 10-�� <br />L..�� <br />Division <br />Jor/A,,ddition__r, a P_ <br />p _ry�� <br />No.__� to G� _ Owned bv_Jl� <br />Application and <br />Remarks:—_ --- <br />Depth of Sewer at Connection I <br />t/ <br />Date <br />Block_ _ <br />I zqf�/11/lA <br />------ -----Licensee <br />Connection made the_ _day of , 19= Examined and Approved by- L''/y�t7 <br />,GAO Cfly Ea9laeer <br />Sept. of Streets and Serven <br />BY— _. __� _ _ —. Inspector r <br />- 23124' <br />