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THE UTY OF EVERE'. T v <br />�/� Date�3� <br />Sketch of Proposed Sewer Connection for Building Situated on Lot— IL)y� _ __. Block--_Z <br />/ e <br />Division <br />�or-yA-dddiittion_[ LR7 OF �OLtIE L/_ f V <br />No_4V z4- 3 � �i% Owned by_L1fLX02_.-�LA Q� --- <br />Applicallon,,j¢nd Connectio <br />Remarks:�L'_� -C�-` <br />Depth of Sewer of Connection <br />_—__—_____ Licensee <br />Connection made the. 5-4-_day oE__ _19 `. Examined and ppr ed by J ' V U� <br />J ry Engineer <br />S.W. of Streets and Sewers By �,�� By <br />__-- __.— _.Inspector '2;�792 t <br />