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THE CITY OF EVER --'TT ��� Af-v <br />Sketch of Proposed <br />Division or Addition—Z� d <br />Application and Connection by- <br />Remarks:-. - - -- - <br />for Building Situated on Lot (G " <br />AJ .ADS <br />by_ <br />Date �— <br />Blocl,31f <br />'1! <br />Depth of Sewer at Connection I I <br />f <br />Q �e1y <br />7 <br />Connection made the_ . day of <br />By- <br />a?- ,. .N. .... ................... <br />rt � <br />— � I <br />I <br />7 <br />.Examined and Approved by_aA., <br />— <br />-- - Clry Engineer <br />Supt. of Streets .md Sewers By_ <br />.Inspector <br />13736 <br />