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4q- <br />Sketch of Proposed Sewer <br />Division or Addition <br />r aAA - 1^' <br />THE UITY OF EVERE'i T 1Z <br />Date-- <br />action for Building Situated on Lol�ij__/d — Block-- <br />Application and Connection by d 4/---- <br />Remarke:��l�— <br />Depth of Sewer at Connection I I <br />L <br />�i• <br />QI .99 C,c u c� ert� /J LLL,1 <br />_—__ —Licensee <br />q <br />I <br />Connection a e the_ —day oE_.r�:�`u ! -- _ 1. -_! . Examined and Approved by C11y engineer <br />Ici r az_ ✓r� <br />Supt. of Street, and Sewers HY-- --- <br />_ _ -.__ _ ___ - Inspector 222t1 O <br />By - <br />