Laserfiche WebLink
( _. <br /> Form \o. 14. �� 63 �--� � � D/� ^ APplicatlm� \o.../<..�... <br /> Xu...................�JYf�.••....-........... Sticc[. <br /> � Pt•crMt....�✓i�!LC�.....�..-�........ 190.Y • <br /> � TO �1117 COPIiRIA7'IiKUI?\T OF TIIF Ll'l:R7iTT VA':17'I•:R ('n�IP:1X1': �. <br /> i <br /> �f Lcrobp appl p ior thc udc nf wntrr in ncvord;mcr �cith thc rules nnd requlntlons ot the ficcrctt l\'ntcr Company,aml request <br /> tl�nl. n..�!yl,lnch tap I�c Inecrled In Utc main nt tL•c pince a6ove stnled. � <br /> � <br /> Thu piimbcr n�ho �rlll do mp t��ork is..................... .. ......................... ........... . <br /> ��//ff ................ .. ..�...... <br /> Thc ownrr nf �hc Urc�ni.^.rs ix....... r!�j�......................�... .................................... .............. <br /> ' Thc nRrnt Is.........................�r.t.GJ�G�2,............................ .................................... .............. <br /> Tlii• trunnt Is..........................I�LfLff—l2.......................... ......................... ........... .............. <br /> � <br /> Th�� �cntrr renL sl�aulil he ehnrRr�l Lo....�CG?tA.L�....................... ............ � ......L........... .............. <br /> 5(Rned..fy!t.C}�i.J�-�('��...:l U�. ........ .............. <br /> 19ec Otl�cr SIdeL � / � :Applknnt. <br /> :r <br />