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ThiE CIT'�" OF. �VER�TT �° T ` `, <br />��...✓,% �� //�- ! ; ,��. Dnle i /_G ��c/ / �5 7 <br />.. , " .�. <br />Sketch of Ptop;:;ed Sewer Connection (or Buildinq Situated on LoL4 ��_ �Z..�,�!._�s_`l�___. Hlock_________ <br />/ p �� <br />Division or Addition_ _c.z'p/_a/+---[�j�'���!�d,�Y---__---- <br />T ���� <br />i . .�.` : � � - r ... ; . <br />No.-- --- __ _ __ _-- -----`-•--=-- _Owned b ' , �. <br />Y---=--`----- ----•----=--------- <br />Application and Conneclion by�-'_��.__ ' ________________ _ _______ _yicensee <br />,; ,:, - <br />Aomarks:_ ._ _._---- -� :_ , i. <br />Doplh ol Sevmr al Connecqon <br />Sr � �i <br />c, <br />y,���uy�-� sP �v <br />� <br />�, . <br />S�• <br />IY L�.e_ I � <br />.I_'I .— .. i i _ ._ .. I <br />- 1 <br />I Sn" <br />� �6b���6. <br />�_ � _---- <br />; � _ ` 67 <br />6-l—, <br />� gP�l <br />� Y lf - <br />• � <br />'� •.�/ r <br />...... ...��. . � ..���_ ... . { • <br />/ ui } � � <br />: : <br />/�I�� ; � �r 'I <br />� <br />Connection made the__day ot_ <br />nq <br />�:;. .,,� . .,t��, .o . <br />� <br />I^. �� <br />i <br />�_l <br />�� <br />�f ` <br />_19_, Excmined and Appraved by- /�•'•'�• r'' �=' � <br />/V �— �. „Citx Enqincer <br />o! Stroo;a and Sen•au Dy_.____. .��- C;i�r+��, <br />1.SSUE� <br />