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f <br />u <br />0 <br />n <br />L <br />Property <br />Curb <br />Water <br />(- <br />Application_---_�-------- <br />�" <br />Entered --------- --------- 1A71 <br />Book No.---------- n� ------------- <br />By-------------------`(T u ---------- <br />Lot No. . <br />Block No <br />Addition <br />Distance A ---- ------- .. _. -..-- in' ; <br />u ... In, e <br />C._....---..Ft.------ <br />0 <br />' <br />Si:c of Connection..-------------------- zn , <br />Date ofInstallation---------------------- ; <br /><.------- <br />C.. X-------- D.___.__> Line ---------- <br />Name of Street------------------------------ <br />%tn <br />Line <br />Mai,t <br />