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� �/' <br />THE �;1TY OF EVER� � T <br />Date�_N .ZZ- / %� J�' <br />Sketch of Proposed Sewer Connection :or Building Siluated on Lot__ /_ <br />_ _ _ _ — --- Block-- -� ---- <br />Divieion or Additiot�__�111J/ZEL __(-�E /G_/iT_L Aj��_ <br />No.�g_Li___lt��J-L�'LA_d-E___---- ------Owned by_.� ._1tL_ /�/ �� L7� --- <br />Application and Connection by—L , ���n !�__��_____ _ <br /><< � <br />_ __ -- - -- <br />Aem�ka:�i----�—L'���/���/'3C,"iL'-1�— - <br />Dep16 0l S��ie� at Conaecllon � I � �-- � -� -� - �- - -- <br />C{ � ly la" IJIQ�' 1R-.�u-/� <br />r i� <br />5��. (o 'lv �rw- l�.u..{.. �.� . <br />0 <br />� y'� u2, s�:i . e-a�.k�� <,��.;. � <br />. '�u � �.-�..�. K�...:.�.� . <br />� j�. 7; i <br />_ Licensee <br />� <br />� . � � <br />Connection made the. ���__da oL _�..!�� �E_<<- b� � <br />�/p }{ Y -- —__.19_ _, Examined and Approved by_/P �._�(Z L__/Li A� � <br />_ . _ �'�Li-A'L /pLA_!u� /City Eugineer <br />/ L� - Sup1. ol Slrcete and Sewan B <br />- _.. _- `-.. Y-`������t'L,.:t_^�s� <br />Y (� i'�` / <br />B .. � �4:/��� �. _ . Inepector � 1 U G: � . _--. - -_ __- �- _ <br />