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i7 <br />Property <br />Curb <br />Water <br />Application.- ---------- <br />Entered------ - — - , ------- 19` <br />Book----------------- <br />✓i <br />Lot No. .._ <br />Block No. . <br />Addition <br />Distance A ------------ Ft— ------------ In. <br />I « <br />i <br />C------------ Ft...............In. to <br />p.._..-_ .. —Ft - ---'---------In. <br />0 <br />E <br />Sire of Connection ------------------------ <br />Date of Installation ----------------------- <br />Q_.__.--C._-.._-X._-_.-_D..--.-_> Line. ._---..---- <br />A <br />ai <br />STOP OOOK <br />Line <br />(A) <br />V <br />Main <br />Name of Street------------------------------ <br />