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I, <br />�r <br />Application__ ........... <br />Entered---------- ---------+ 19-f--- <br />BookNo --------- -------------=-•---,•----- <br />_. <br />LotNo.--------- ------------------------ <br />Block No -------------- __._-.--..._---_ <br />Addition ---------- ----- -_______________ <br />Distance A ------- ..... Ft -------- ------ In. <br />+� B._-' ------- Ft ------------- ..In. <br />,+ D-------- .--- Ft ......... --- --- In. <br />Sim of Connection. _--------------------- <br />Date of Installation ----------------------- <br />7. <br />Line _.--_______ <br />A <br />STOP' ^ t -0.- <br />Curb Line <br />r' <br />(A) <br />V <br />Water <br />Main <br />Name of Street______________________________ <br />Property I ----------- C------- - A. ------- D- ------ -9 <br />