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THE CITY OF EYERffff <br />SFL.*h of Proposed Sewer Connection for Building Situated on Lot ' ______ _ Block ' �— <br />Diuis.'on or Addition <br />No. _l—C Owned by JZ/—_�. J_ --C-mr <br />.4pplicailon and Connection by Ltcensae <br />Remarks----------------- -- — <br />Depth of Seiner at Connection I <br />L_ <br />Conn 'on made _day ofi _! ''' _19l Examined and. 1pproved by _ <br />---r—�_Supt. of Sheets G Sewers 03048 City engineer/! r <br />By�•...G-Jra -, _`'_. r' ` '_�-__ Inspector <br />