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0 <br />■ <br />0 <br />Application_ S S¢-._.--_-- <br />Entered ---------- 2 3" 19i4o <br />Book No. ----el, - /� pp�r ' -------- <br />By=.... --------------- <br />LotNo . ------------ .----------- <br />__.__--- <br />Block No. .._..__..--.._...-------------- <br />Addition ----------------- <br />-------- _.__--- <br />Distanu A ......... —Ft <br />.....-..__.---In. <br />" B..._ ....... <br />Ft ............... <br />In. <br />" C............ <br />Ft. __._.._ -..In. <br />Site of Connection.._..... <br />-.------. <br />Date of Innallation------------ <br />--� <br />-- <br />Property <-------- C..._._._ X __...... D---- ....> <br />Curb <br />Water <br />Lrve ---- <br />Name of Street _-_-_-___--------------------- <br />Line <br />Main <br />