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Property <br />Curb <br />'Application---ll <br />Entered_ <br />Boole No. ���----J------------------- <br />f <br />BY-.----------t (,. <br />-- <br />Lot No.__-'-/_4__�-�-�-__`- <br />Block No.-'.'r-----i I ' <br />t - 1.Pti 1 <br />Addition >r _ <br />Distance A______________ Ft -------- ---- In. <br />B-------------- Ft ------------- In. <br />C-------------- Ft ------------- In. <br />D------- ------ Ft ------------- <br />In. <br />Size of Connection --------z__________-- <br />Date of Installation -_� __� A-:-. <br /><----"-C----- ---- %-.-------- .D ------ -- <br />(A) <br />V <br />Water <br />Name of Street-__ (1/__ZY/_67Le" <br />