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CITY OF EWER,=--� � V <br />T H Date_�L � � � <br />Sketch of Proposed Sewer ConagFiion fo) Building Siluatei on Lot -- -- -- — - - - <br />Division or Addition__ � (C�` _ CC / �p U• ——Hlock...-- _—.— <br />---owned- <br />Application and Connection by_�f�� — <br />Remarks: <br />Depth of Se Fe, at rcllneftfon <br />-4, G y a-- <br />�� 2 <br />Q a- e f t� Ref V VIA/ <br />Connection made the. -day of- _ n F Ua `� -196 Examined and A o ed b r <br />City engineer <br />Supt. of SneeU andr�Sewepn (� �7— <br />