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r.. THE FY OF EVERE r e Date <br />— <br />Sketch of Propcsed Sewer Connection for Building Situated on .> Block- <br />�Lot_-,7----- <br />Division or Addition- <br />q.--- <br />No. 3 - ! <br />stceneee <br />Application and Connection by_-� � z Am F -- <br />Aemarks:— f,Ie,,C___# J_3 5_- Z - - --- <br />Depth of Sswst et ConnMba I I I <br />7 D <br />q' <br />2 I <br />� <br />�3 <br />1l C e tax to <br />Connection made the- %S -day of .. <br />By - <br />3 <br />a <br />QO <br />L_ <br />y . Examined and Approved by--�l CIty <br />�� <br />Streets and Sewers By-- — -- <br />Inspeclo, 25202 <br />