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P' <br /> Application.........................._............... <br /> Entered ..........................................................19 <br /> BookNo............_.................._................................. <br /> By .............................................................................. <br /> LotNo. ......................................_................ ( I •- <br /> BlockNo. ................................__................. � <br /> 1 Addition ......................_............................. i <br /> yDistance A.........._.......rt-....................In. y <br /> N <br /> .. H..................Ft.....................In. w <br /> 0 <br /> xuC...................Ft............_._. In. E j <br /> I D._........_.._.Ft...._.._._....._...In. z i <br /> i <br /> i Size of Connection...................._............... <br /> Date of Installation................................. <br /> I <br /> PropertyC.............C................X................D.............5 Linc.................. <br /> A <br /> "ora COCK <br /> Curb- -- — Llne <br /> (A) <br /> i <br /> V <br /> Water --- Main <br /> Name of Street...................................... ........................_....... <br />