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11 THE �:ITY OF EVERE ,-T , ✓ <br />ads 70 r e< Date c•,,. i 1 ; 1611 - <br />Sketch of Proposed Sewer Connection for Building Situated on Lot— �_ �� f'� <br />Division or Addltlo ,,//t►,'� Block__ <br />No. —Idol LYE fa <br />me J --Owned by- <br />Application and Connection by—!- <br />_y <br />Remarks:—Af <br />Depth of Sew.,r at Conaetltm I <br />ytu"--- <br />dt ,L� <br />✓7 <br />Connection , ade the.3 a_ day of <br />er <br />—.L(censee <br />L_ <br />Examined and Approved by <br />` Supt. of Stresls onrj-Sewen' Sy _-_--__P lJ._ City 6nglneer <br />Inspector 19075 <br />