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THE UTY QE EVERE"ll F <br /> -3/1 Date <br /> Sketch of Proposed Sewer Connection/[or/ Building Situated on Lot - <br /> Division or Addition_ — ' / Yf? GT U� /L/e�_ _ - _Block <br /> 7'� /OG. — Cwvned by e!�.- <br /> Application and Connection by s '' it ��r moi•/i.� ------._--_----- _ <br /> �O '7 e <br /> Remarks:_ 5(~1 -- --- - -----------Ree. # / — <br /> Depth of Suer at Connection I I <br /> eee <br /> teaeeeee' <br /> r <br /> Connection made the. oL._. a_,w�- - -- 19 __ . Examined and Approved by i - <br /> • Gn, Engineer <br /> Supl. of Sn"Is and SeOerx BY -tea _ _ __._.— <br /> &00 e� , .� <br /> fs,--- -- - --. Inspector 31096 — --- — — — <br />