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THE FY OF EVERE i . <br />Date 6 <br />Sketch of Proposed Sewer Connection for Building Situated on Lot / --. Block---._ _ --- <br />Division or Addition_ _t_'No— ___j1 } � 8-a— ------Owned by_ --aQ N _ $ 9 NIJ—$A --- — — -- <br />Application and Connection byDflMt— —,a:-4-Z�L� /Y jZj-F <br />Remarks:__ ----- <br />Depth of Sewer at connection <br />a S to a( / W- <br />rdk� • <br />fit.... <br />a-k& 4�- <br />A, A- <br />/0, <br />e �, -X4 ?I-f4 <br />M <br />s� <br />_I <br />t <br />_ -- — Licen"s <br />V <br />Connection made the. /" day of - ' 19. � - Examined and Approved by. J'� . V'A <br />Clty Capiaser <br />_ �tn�� 0'�.� _ Supl. of SIMU and Sewea(� BY �� - Y— <br />By � 20" I tnePeelar 24 ! V 1' - -- <br />:I <br />