Laserfiche WebLink
Application._ ------ ?_x__--•._ <br />Entered__________-JQ - -•--__- <br />Book No. ------- �_ d S� <br />By--------------------�11r�--------- <br />LotNo.__.'_—____________________________ <br />Block No --------------------------------- <br />Addition ----------------------------- <br />Distance A ------------ <br />Ft------- .______In. <br />V <br />t <br />h <br />0 <br />I <br />„ D <br />FL -------------- <br />In. <br />E <br />e <br />------------ <br />Z <br />Size of Connection ________________________ <br />Date of Installation _______________________ <br />Property <br />G-------- C........ <br />X-------- D........ <br />> <br />Curb <br />Water <br />2 <br />Line --------- -. <br />Name of Street________________________________ <br />Line <br />Main <br />