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s • <br />V <br />0 <br />E <br />Application ----------------------- <br />Entered ----------- ----------- 19_.- <br />BookNo.------------------- ------------ <br />BY------------------- ------=------------- <br />LotNo. ..... -------------------------- — <br />BlockNo --------------------------------- <br />Addition ...... -------------------------- <br />Distance A ------------ F f.............In. <br />.... Ft ...............In. <br />C.-------- ..-Fr .............. In. <br />D -.- . Ft ----- --- ----- In. <br />Site of Connection.....------ --..._... <br />Date of Installatio---------------- <br /><-_.-.C.-----.. X_.-----D--------> <br />Pngsvry I <br />A <br />to <br />STOP COCK <br />Curb <br />(A) <br />V <br />Water <br />NamC of Sheet._ _-------------------------- <br />Line <br />Main <br />