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8784h 0 EN <br />KVLLU <br />Application... <br />Entered ....... Q..................Imp- <br />.. .. <br />................................... <br />.1 ......... .. <br />.... ........... <br />..................................... <br />.. ........ .... . <br />lli '4,' <br />A zql-f .-Ft. In. <br />B. ... Ft . ..... : .... .. In. <br />... .........In. <br />Size of Concoction.___...... .. .... .. . <br />Date of Tp-,allation ... 1-7 ... <br />Z <br />0 <br />Curb <br />(A) <br />Line <br />Water Main <br />Name of ............... . <br />w <br />ee <br />