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� <br />THE C;°ITY OF EVERE'. T' n � <br />Date � � .1SL�y—ffT� <br />S}:elch ot Proposed Sewer Connection for Buildinq Situated on Lot U�� n L—__— — Block_ ._ ��% p L_ —__ <br />Division or Additio� 3 Z— �' 9� 5 — —__ — �/ <br />No. � �i5 .Z �i �Tf�.ST --Ownedby_ L/L1/�. �J_����,S4N_--- <br />Application and ConnecHon by�_� C _----.—__--- Licensee <br />Remcsske:_IO �� � / Z %O O -------- ----- --- <br />DepW ol S�ae� at Con-.ectton � I I � <br />-1- I �D11.�... lo b, f�.st.�u�.�t <br />y/ / %� <br />l.l� l�tL\ ���'(u�.� J�-4.P� �./L <br />V �" � <br />!��fw" i�i.L�'��s—G4 . <br />V <br />t,�-" v�.,5�. � S ��-�- � �..�.w� <br />c�li.:at �.... h.u.A io e�' d a,._�-,-, <br />r1S.t.::�-�. 5��� :�c-c�«;�7.�i`�. <br />�' j-Lt.C��-�,��-°--' � <br />yr,N �>- � � � <br />L �, - <br />,° /t � <br />_ ( l�l ,cc.cT ` <br />Connection made the. / �_ .day o[ � __— — _- --l9� I . Exanined and Approved by___ � • � • C� V � - <br />City Cegincer <br />' � ��ED � i�A) n/�� <br />___ �� _ Supl. ol Slrecle nnd Sewe�s By __--- <br />� <br />B � _`!I\�o` r 23225 — <br />Y - �— ���J- - Ine oclor <br />r <br />