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Application <br />LOCIed Im <br />Book No. <br />13Y ........ . I, <br />Lot No <br />Block No..... ... .44 <br />Addition. ........................... ....... .. .... ........... . . ..... .. <br />Distance A, Ft ............ ...........In. <br />...... If / ..... Ft........ Jn. in <br />.... ....................... Ft .......... 6 ......... In. 0 <br />D.............................. Ft .............. In. <br />.2 Z <br />Size of Cr ection ........ ... .... .......... .......... <br />Dale of Installation ............ <br />Property<.............C..................x.................D........Linc ............ . .. . <br />A <br />To <br />Stop a Cock <br />Curb- Line <br />0 - Main <br />et NameofStreC-�..622��- <br />...... . ....... ............. . ........ . ...... ..... ........... . .. . ......... <br />