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Z <br />Property 1 <br />Entered - <br />Book No(J <br />Lot No . .................... Al- <br />---------------------- <br />Block No ......................... 7. <br />..1- ................ <br />Adistion .................... ............... <br />Distance A..... e.—. Ft..................... In. <br />B. .. -2 .— Ft ..................... In. <br />C....... 1.0 ...... F1 ..................... in. <br />D................. I'l ..................... In. <br />Size of Connection----- -- - -- ............ <br />Date of Installation ........... <br />< -------- C X D > I Line <br />stop ['71 <br />A I Cock <br />Line <br />Water Main <br />%A6 <br />Name of Street . _3..... ,—��,............. <br />