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1 Form rn, ld1 <br />APplicn ion \o. /�.�. �:+...... <br />�'a — � Za 2� � ,.� ,./ <br />No..:�. . ................... � . .... . �i � i? 3trert. <br />........�........ <br />.... � <br />.... . F.vrrett ... .. . / � 100 � <br />� ....... .......................... . <br />TO'���F. 9l1pIsRIftTF.NOF.NT OF THE P�,VF.RF.TT R'ATP•.R COMPANti': <br />F�-- I heyC�l�y npply fm the uxe at u�ater in necordance ��•Ith thc rnlex xnd regulntl?ns o[ the F.rerett Nnter Cmnpnnv, and reqncst <br />��1 <br />thRt n./�� inch tnp be inaerted In 4ie mnin at th� pinoc nboce atntc�l. � <br />/ <br />The Pii�mhcr w•ho u•111 do m➢ x•or ...............'........... ................................ ............. <br />��...� , <br />) . <br />The owner of the premieca in...... Y V' .. ..... ... ... ...... ................... .................................... .. <br />� ��� <br />Theae�nt Is .................... ................... ............................ ................................ ............. <br />a; ' The tc!nnnt (n............ <br />......... ... ......................... ................................ ............. <br />� �,Gua���. <br />The wnter rent nhould he rhnrBed ta .................... ................ .......... ............... .... <br />1A <br />(Br.n O[her Slde). <br />31Rncd ........... .. . . . ... <br />. ....h . ................. .... <br />� ApTllen it. <br />