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� <br /> �1,�yr.,..��� . .. __ _ � <br /> Fnrm Ro. 11. J/� �� pplirnt�n .�'n.....1.�.�y , <br /> — /...... <br /> � �u.�V.../......... ............ ....... ..............�.jJ....9trcet. <br /> ; Iicr� __,��.�._.._..f.�......100� � . <br /> ' � 7`O TIiF7 SUPF.RINTF.NPF.KT OF THIi RPiiRRTT \\'ATIiR COMPAt�Y: � <br /> �� IWe I�g a���ly for tl�r �ise nf water In �ccnrdnnre with thc rulen nnd reF���nt nR-�n[ the lirerrtt \1'ntrr Con:pnn,r, nnd reqncet p <br /> thnl q..�.rY... Inch tap be ineerted In U�o mnin/n� the pinre nbn�•c sinted. <br /> The 'Pymber w�ho u•III do m� n•ork Ix../..Y..� . . .�••_......�� . �......................... .............. <br /> i j /iJ <br /> , The aw�ner o[ fhe Prrmleen iA...... ..... .......��!G��C7�........ ........... .................................... .. <br /> TheaRrnt In.. ...�j. /....... ...... ..................... ... .... ................................ ............. <br /> Thc tennnt fe...'.":."�?'....�?�'�'�-�'�-�c�:['?.�Q�!S_r,................... ..... ................................ ............. <br /> Thr w•nt�r rent ahould be chnrRed to...�....c� . . ... ....... .. ... . .................................. `7 <br /> � � 91�ned................ . ......... . ................... .... ' <br /> :�(Beo Ofhnr Sl�le). � . .. Applicnnt. <br /> i: � <br /> _ _'� _ <br />