Laserfiche WebLink
Application ...... f.jye. <br />Entered......... . ............... 192 ... <br />Biolc No.. . .............. ........ <br />By............ .. .......................... ........... <br />Lot No. J/ -7 1�r <br />Block N,0. .... .. Addi!;,n <br />Distance A .,,t. <br />B <br />'Ir a 4 —In. <br />D In. <br />z <br />Size -if Connection.. <br />C; - <br />Date of Installation <br />Property C'..-.- ....... X ................ D ....... Line <br />Curb --- -- - - <br />Water <br />A <br />STOvM COCP <br />Name of Street.....: :' <br />.......... ....... <br />'0 <br />Line <br />Main <br />