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Curb <br />Application ...... ... ... .... <br />Entered . ........ . .. ..... 19 <br />Book No. <br />.. . . . ..... ...... ....... ......... .. <br />LotNo. ................. <br />.............. __- <br />BlockNo..._..... .... ..... ........ <br />............ <br />..... <br />Addition ..... ......... <br />.... ... . .... . <br />— — ------- <br />Distance A ...... .................. <br />Ft.. ........................ice <br />BFt <br />. ...._._In. <br />In. <br />Size of Connection <br />.... .... <br />Date of Initallation <br />C X D > <br />Name of Stzect. <br />z <br />Line <br />Main <br />