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THE CITY OF EVEI?'=:TT Dateja'l� <br />Sketch of Proposed Sewer Connection for Building Situated on Lot �' �" `_ _ Block <br />Division or Addition_ -- <br />No. Owned by ��_... <br />Application and Connection by j y' /- �— — -- <br />Licensee <br />Remarks: <br />Dept: of Sewer at Connection I <br />Connection made 4the day of — <br />By <br />u eoovv vase veu env <br />Y, <br />Y <br />0 <br />19—. Examined and Approved by ` <br />—.__Sups of Streets and Sewers <br />34341 <br />Or, Fseem <br />lv <br />its <br />