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. I'nflu IIY�I lP.II. Clnll'o I1.'Iq • • <br /> ;•,,. ' APPLICATION FnR WATER <br /> ., Ail binnkn muet 6e filled in or cmeaed out. <br /> I� � / y -- �;�p�l�✓�cLi ^�7.,�1. <br />, . ' - m„��;.. .1.. � �/��l. /. ... n�i�i. ...... ... ni �����Jr��p� �: '. <br />, ��+� 1 �f/'Qf'u{� /f'V..��'...+n��v <br /> . �. . n............. .............�fmrl IsYrrrll� ...... <br />� �. 'Pn 'I'llli 51'Pliltl.\"fF:\Uh:\'I' 1�I' '1'llli Ii1'IiRI;'f'f \\':\'1'IiR ('O\IP.1VY: <br /> I hrrrLc npph' far ILr m�� nf n'nlrr in nrrnrd�uu�• �cilh Uir rulr+ nnd rrp. <br /> uL�linu.+ nf Ihr Iiv�•r�•11. \\'idrr 1'nmpnny. hn' IL�� purpur��e ni.�l Ilclurr+ Plnlyd <br />_ brlm�. <br /> Ihnin}( Ihr tinir lLnl nnc �d Ihr I'nmpnup'n �nnino mny Lr tnArn np Lr rrm <br /> cnn af nnp impiovrmrnle nulLnrimd Lr Ihr 111p uf licrrrl.t� in nr nf nny nlrrrt <br /> nr nllrr in ��ui��h ILrc nin)' hin�r brru Inid. ILr 1'ampimr ��'iil unl, Lr rrquir�d in <br /> �� . <br /> � � furni.L �adrr durin4 prupn•++o(nurL Bn•n'ucruu�ul+ In �.�p� rnuaunir� �cLasc nup. <br /> � . pic umc Ihna Lr rul. uIL nr Ir�• lirddr u�r nn)' �Inum4r+ (or ih (ndurr no �a dn. <br /> ..y.:. ':.`�. . <br /> .�.�:.: . .. �� ••. . 'I'hc �enrk la Lr r�rr�drd 6p.U........................_......... 1'ImnArr. <br /> � � � ' . . eln�r.l>r uf�np, y <br /> � . 2..'llip �n Lr Inarrlyd in iLr mnin. <br /> . . . ..11'nlrr rin+rl. <br />� Bnlh <br /> . ..,,.. �. � ', ... . <br />� � .. � I . 'rinni. <br />� .. � .. I'Inin fnumt in.iJr. <br />� <br /> I � � .�/...hidr�cnik n�n�hc�. <br />� . . �C .Ifoer 6P, nuMidr. <br /> .': .Ilo.r bIL (nr Lnildin�! pin�porre. <br /> ..�� <br /> �jk . . ❑n.r I iL iuvblr <br /> hr '. ' ...�Y, .ItiL fur ��nLl� �unlaminp. ....�inll.... . <br /> Cumlx,r �.,nmr in Onnil)�. <br /> �.... <br /> ... ..\umhar nf rn„qi+'Gi LuiLl� i ,/l <br /> 'I'hr �n'rmi.ra nrr ���hr mrd ne n...�( (y�. Y/x� q�A ...... <br /> 'I-hr mnirr nf Ihr prrmi•rr i+.`�.. �\��. .....V!. `.`'('/7 .. <br /> 'I L�. n�rut. i.. ...... ....(//!L.✓���( l�[[ .��p.. ..... . .�... <br /> �i i rq.y.. l. .��.•..:\pp6 nnt. <br /> �p�•r ntLor •iJr.) <br /> / <br />