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�.0 <br />THE iY OF EVER. f •' Date✓?�F�/ <br />P'Skelch of Proposed Sewer Connection for Building Situated on Lot ��/' � ^�<<- 3 Block__) ^ 3Z <br />Division or Addition_ UI7&1,)1TlC-,A1Lv-4 <br />Application and Connection by_ 7 ///� /�Y` C.[�/1 ✓/ G4 _Licensee <br />Remarks:__ el-- feuJtlr 664, / ' L �Ez �� i S� - .�, o . <br />Depth of Sewer at Comoctlan <br />CA-14ALCe t -Vt a u4, <br />Connection made the_,2_ � dray of_— <br />By .Inspector <br />