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Application .....Y.��..Q�................ <br />Entered................................CL.-/O ....... 19:aa <br />��........f <br />BookNo....... / y..: • ............................ <br />/`7 �F <br />By..... ................. .............. .._..... ................................. <br />LotNo............................................................. <br />BlockNo . ........... ................ _........................... <br />Addition ...._ ................... _............. ......_....... .. <br />Distance A........................ Ft ......................... In. tbt I <br />.� <br />B......... _............. Pt ......................... In. sb <br />C........................ Ft ......................... In. c <br />D........... ............ Ft.........................In. m i <br />zi <br />Size of Connection. ...... _........... .................. _... z i <br />I Date of Installation .......................................... i <br />Property I -;-------- C-------- X-------- D-------- > Line ................... <br />I <br />A <br />ai <br />.,o. <br />Curb — <br />— Line <br />(A) <br />V <br />Water <br />Main <br />Nameof Street ....................................................... <br />