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V <br />V. <br />0 <br />E <br />z <br />Curb <br />Water <br />Property <br />2 <br />Application. __---.--------- <br />Entered------------------ <br />- / 1 <br />Book No ----------- 5 7 Y <br />------ <br />By----------------------- � O---------- <br />Lot No.... <br />Block No --------------------------------- <br />Addition --------------------------------- <br />Distance A_.-----_-. Ft -------- _------ In. <br />B.... ....... Ft ......... ...... In. <br />C_.—.--..-Ft.__..... ...... In. <br />D....... .. Ft -- --------- ---- In. <br />Size of Connection............ .....----.- <br />Date of Installntlon.-----...-__-----..._. <br /><-------C-------- %..--..--D_.------ > <br />Name of Street------------------------------ <br />Line <br />Main <br />