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-- - - - - --- ---a <br /> � Form xo. tt. � �� -�,7` / - - - annnenaon :.�o ..1r�.g�.. <br /> �• , ;vu..��dU._��j/_P��{.�t���....1l`.1.-�~..��. �..... SMeCt. <br /> , � y F.�•erc[t�..........::�`:.�.�...R..-....�...��790.. <br /> � � TO pF�E Bi'PERiNTENDL�`NT OF THE FVERCTT NATF.[L COMPANI': � <br /> � i 6ereoy apP�3' [ar the uec of wacer In accordancc wlth the ndee nnd regulatlone o[ thr Cccrett R'¢ter rump.�nS,nnd re�neat <br /> tb�t.'��•.�i�.Inch tflp Le fnaerted In the maln nt the pince nboco ntnted. <br /> �•, ��M . <br /> The �umber Who will do mY work Is.��.................��-iL......... .;.................................. .............. <br /> ..� � <br /> The owner ot �he premixec .a.......��5;'.�-u�� �� � <br /> ... ........�..f,.......... .:�.............. ............... ...�0.......,. <br /> TfieaBencls............................. ................�'.'................ .................................... .'............ <br /> The tenentis................ - ��—� <br /> �.�......��. ....��........................... K ���.... <br /> ... ... . <br /> eThe weter rent shuuld be chereed to........................�..............v. �c�.-?...........=?..)....... ...'...�.�............ <br /> , / /,c.,�. <br /> � Si6ned../�3�!�i�L�/;,.�'�i= , <br /> ,t� ............... ...... <br /> �(•9ee Othei 81de1. O ....AP Ileunt <br /> / <br />