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'._3; LTW LlPq!i- - �,- -- - <br />Application.. '44...4................ <br />3� _. <br />Entered.......... j-3. ?s.............. 192...... <br />_ .......... i7,6,P............................. <br />LotNc. _..._... ...__....._... ...._. __.......... <br />Block No. .. _._._ .. ._ .. _. <br />Addition _... ... ......... <br />_...... ...... _.._ _._ <br />Distance A__ .... .......... Ft ... ... .......... .. In. <br />in`; �• B.__.......... .... Ft.. _............ ....In. m <br />c in. <br />0 <br />c.. .. _ ......._...Ft.._..... ..._ v <br />O D <br />.. Ft... _.In. C <br />O J <br />7 <br />Size of Connection ................... .. <br />Date of Installation ........... ..... ...... <br />......._ _. <br />Property....... ....C._.............X..._...........D.............:> Line ......._ . <br />A <br />W <br />i <br />i <br />arop x COCK <br />Curb—----- --- Line <br />(A) <br />V <br />Water Main <br />Name of Street .............................................. <br />