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THE CITY OF EVERT= , j1P ` � � <br />Date <br />Sketch of Proposed Sewer Connection for Building S/it�uated on Lot Block — <br />Division or Addition <br />No. 3 �r S Owned by — <br />Application and Connection by `���� Or/c Licensee <br />Depth of Sewer at Connection I I I L— <br />Connection made the day <br />By <br />u eoow e.aaae ue euee <br />19—. Examined and Approved by C7-( { �� <br />Cm E.ctnm <br />of Streets and Sewers Ily_._yL�% <br />:tor / <br />34349 <br />