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I 4�w Application--------- �--------- <br />Entered-----------------� <br />BookNo.---------- _ -------- <br />ii (5"p---------- <br />Property <br />Curb <br />Water <br />LotNo. ----------------------- --------- <br />BlockNo. .----------- .------------- '--- <br />Addition ._. _.___---_.---_. _--_.._.--_ <br />Distance A ------------ Fr --------------- in' <br />B.--' ------ Fr ............... in. <br />C..-- --- ---- Fr- - ------ -------in. <br />D Fr..._-....-___.lu. <br />Size of Connectior. ........... ...._---- <br />Date of Installntior---- -- ---- - ----- -- ---- <br />(A) <br />V <br />Name of Street.----------------------------- <br />Line <br />I <br />Main <br />