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Prindn¢ 1)rdc[ No. 167A <br />iLOT ............................. <br />BLOCK ...............:...... <br />NUMBER ................... <br />1.Fj <br />ADDITION <br />................ <br />w <br />HDistance <br />A..........FT <br />IN <br />.......... <br />rn <br />w <br />B......... .FT .......... <br />IN <br />O <br />" C.......... FT .......... <br />IN <br />W <br />a <br />[[ D........ -FT .... <br />...... IN <br />Size of Connection ....... <br />_.......... <br />Date o: Connection <br />........... :._ <br />No. hours of Labor ................ <br />Building, <br /><_—. C _.._... x _.._.. <br />I <br />U ..__. > . <br />