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THE C,�TY UF �VERE-i f � <br />Da�a__Z ?, _ �J P � � "r <br />Sketch oi Proposed Sewer Connection ior Suilding Situated on Lot �,_ _ _____ Block_ ""'� <br />Division or Addition_ �,�f E`_�'�% _[`�G j2. (r_ -' ? <br />� ----- <br />---- <br />- <br />5 � � --- - ---- <br />xo.__-L_ WGsr_ //iEav p� <br />- --- - —Owned by �.i_4 /`'I�(/_ G �f,�'h� i � S� .t� <br />Application and Connection by- - S�"lN E_------ - -- <br />Rem�ke:_ _ ('�� C�:.� _ P'�_ �. M �- �- �.I JZU Fj :i <br />Deplh ol Saner at Connetlion � <br />— - ---- --�---- ---- - - - Licensee <br />� � <br />Connection made Iho. ���-8-___d./ay oi. <br />_ �`-` C a-�� � h��e-�.'d <br />,�..� i _ -_— <br />�y ��_���b��.�:� <br />. " j —_—' _ _—_—___ _— '—___—'.— <br />.� � � I � <br />'�� '� ��_�'4� l <br />�-_ 19�_ _. Examined aad Approved by_ I`=•__ �._ := V 4- =; % �: <br />-- v�� �� /7 City Cngi:r., . <br />_ SuF�!, ol Streete ond Seweu By_ .. _ __ /f /'lJ/�/G� <br />�ae�,^c:oc C �.� O`Y � _._ � <br />