Laserfiche WebLink
i 1 + `- .� ' � �a <br /> ,,.; <br /> � 1"� �\ ; i � .. r-__ <br /> — Apnlication............................................ <br /> Entered ............................................................19...... <br /> . Eook No........................_. <br /> .......................................... <br /> sy ............................................................ <br /> ................. <br /> ILot ]Jo. ......................................................... : <br /> ; ................ ; <br /> : Block No. ..................................._. ; <br /> � : <br /> ` Addition « ' <br /> . . ....................................................... � i <br /> � ,i Distance A....................Ft.........................In. '� E <br /> w <br /> y � ,� B....................Ft.........................In. o '� � <br /> . d : <br /> oi ,� C....................Ft.........................In. � : <br /> b � � � <br /> � i �� D....................T'�.........................Ill. z : <br /> r� <br /> z <br /> �I S�.ir, of Connection........................................ j <br /> �i Dute of Installation.................................... ! <br /> Property C............. <br /> C................X................D.............D Line.................. <br /> A <br /> 61 <br /> ..o.a�o�K <br /> Line <br /> Curb�--- <br /> (A) <br /> V __—_R4ain <br /> Water— <br /> Nameof Street....................................................................... <br />