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THE fY OF EVE:RL F'i Dote �� <br />Sketch of Proposed Sewer Connection for Building Situated on Lot-__ - h �' Block — <br />Division or Addition_ . r� — n-- <br />No-j-&-Z Z�. JI Q-ISS-------Owned by. 2C) 1-tC J<.T . V . <br />Application and Connection by__E�I- M &9 — -- - - -- - - - <br />Remarks:- _I o G n E --+— 1 4- <br />Depth of Senor at Connection I I I <br />--- --_-- 7 3 IL D - <br />�' --� <br />1 V / <br />Connection made the. <br />- -Licensee <br />4..) <br />day of _v - 19 k y. Examined and Approved by_ _�___._�L. <br />Cify Cnglneer <br />Supt. of Streob and <br />„.Se"Fit By. -- `? <br />Inepedor G J V 88 - <br />