Laserfiche WebLink
r' <br />Application.. -CC? l L: _E:--------- <br />Bntered-------------- -- ... 19--•- <br />S - -:?_> <br />Book No---- ------------ <br />BY-------•-------------------- —---------- <br />LotNo.--------- --------------------- -- <br />Block No. ._...-.---._..._-....--.- <br />Addition ------------------------- <br />Distance A ............ Ft...............In. <br />1 .. B.... .. .... Ft--------------- In. <br />•' C.....--`-_Ft..............In. <br />.. D.....--.. Ft ----- .--......-In. <br />Size of Connection ............ .----..---- <br />jDate of Installation ---- -------------_..-- <br />Property <.-----C------- - X--------D--------> <br />Curb <br />Water <br />A <br />ATOP O aoci( <br />(A) <br />V <br />Line ---------- <br />Name of Street ----------------------- . ------ <br />Line <br />Main <br />