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0 <br />E <br />0 <br />'r <br />Curb -- <br />Application ....... S.1-5-S ....... <br />Entered.................. ............... 2. <br />Book No. <br />By............................ t.a-..je �0.l <br />Lot N,, , , - 0-7� <br />( S <br />Block No, <br />...... <br />Addition ..... . <br />.. . ........... ........ <br />..... <br />Distance A .... . ......... <br />Ft. ... ............. <br />An. <br />01 <br />B.- ....... <br />Ft . ....... .......... <br />An. <br />W <br />C., - .-Ft.- <br />............ <br />In. <br />D.I. 3 <br />rt. <br />In. <br />E <br />Size of Connection .... <br />..... ... <br />....... <br />Date of Installation...._ <br />............ ....... <br />I A <br />C--- ....... X ................ <br />D ............ <br />Lin, <br />Line <br />Water — - Main <br />Name of Street ....................................... <br />