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THE u ►Y OF EVERE <br />Date > _ - <br />Sketch of Proposed Sewer Connection for Building Situated on Lot_L�) <br />Division or Addition r�AC_09 Jr�t�CS� H6161144S _Block__ <br />No._ Owned by—-�— - -- <br />Application and Connection by— <br />Remarks:—_ —_ — ---- /% —-__Rec. # <br />Depth of Savior at Connection I I <br />1 <br />su; �,A �uw 41 i <br />J <br />Connection made the_ 4_ _day of__ _ 19° S .Examined and Approved by__-L <br />/- <br />—_Supl. of Streets and Sewers <br />ti_ _—_Lvptxtor <br />