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TIDE CITY OF ]EVE.RE T T <br />Sketch of Proposed Sewer Connection for Building Situated on Lot�L_�, Block_.. <br />% — <br />Division or Addition <br />— � - 4IM-Av - — --Owned by--- = -- <br />� ll <br />Application and Connection by -- Licensee <br />Remarks: ---- <br />Depth of Sewer at Connection <br />MM^ <br />Connection <br />N - <br />r -�-- ter- <br />r <br />p\ <br />Y <br />v <br />08C79 <br />L—dayof�_ _ __� _19Examined and Approved by — <br />City Engineer. <br />i_1�![L"-_--Sant. of Streets and Sewers By <br />