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Application ............................................. <br />Entered............................................................ <br />19 ...... <br />BookNo .................... ............................. <br />.............. <br />By— ........................................................... <br />LotNo . ................... ...................................... <br />BlockNo . ......................... ........................ <br />Addition.... ................................................... <br />DistanceA .................... Ft ......................... <br />In. <br />11� ................... Ft ......................... <br />in. <br />0 <br />C...... ............. Ft ......................... <br />In. <br />E <br />Z <br />D.................... Ft ....................... <br />In. <br />Z <br />Size of Connection ........................................ <br />Date of Installation .................................... <br />Property........... <br />C ................ X ................ D ... ......... <br />Line .................. <br />A <br />STOP COCK <br />Curb---- <br />Line <br />66 <br />Water <br />--Main <br />Nameof Street . ..................................... ...................... <br />......... <br />