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Curb <br />Water <br />Application ........ i&f ....... <br />Entered ...... ............... 192...... <br />li-4 I-fq - <br />Book No . .......... 29:n.:F7n ................. ...... . . a./- <br />By..................... 4 . ...7 ....11-1..... : .......... ..... <br />LotNo. . . ........... ............... —* Block No. .. ........................... ..... <br />Addition........... ........ ....... .. ...... ....... . <br />Distance A AZ_.Ft................. <br />B.. .. ... -Ft . _......._._.....In. <br />C. Yt-- ..... In. <br />D.. Yt, ......In. <br />Size of Connection, <br />Date of Installation.... <br />i... .... ... <br />Name of Street ..... <br />w I \ <br />Line <br />