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THE ry OF EVEFRE. i <br />Date <br />Sketch of Proposed Sewer Connection for Building Situated on <br />Division or Addition—==~� , ,r1.I <br />No._ _ __4�202 tr �'y---OwnedbY.-- <br />Application and Connection by------- .L�Lt-.C1G�Gi-ti.q_ � ----- _ __-Licensee <br />Remarks:_ 7-7 7-- <br />Depth of S.wer at Connection <br />1 <br />4�Q'' 5.6 <br />%i o-A of 71 ft& b", <br />S <br />�i <br />: Al_1 <br />Loom <br />e"_O, tL <br />— <br />A_"� . <br />,14 e c p _­>ke't lf�h1 1/ <br />Connection made the. �6 —day of. <br />By _._-_.f26w4-_- <br />21490- <br />I � r l ;4 f 4D11 <br />Examined and Approved by <br />. --_--Sup[. of Streets and Sewers By_ <br />— .Inspector <br />