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� <br /> � APpllcntian ro�.��/�.... <br /> .. Form No. 11. [ ) q � <br /> � � \o. <br /> ...R.�..�..� ��f.—f f-.�.—..C'.�........3trert. <br /> ` /� I � ' .1:�..................190� <br /> rrcrcU�......GT-�`�-/•. . <br /> � TO THI's 3lfPF.RINTF.NDEST 04' THF. Ii\'I�:RIiTT NATGR CO:�IPANY: . <br /> 1/ <br /> � • <br /> ��„, •i�crrhy npPq' [or tlre uve o[ a'ater In nccordmire �citl� tLc r�des nnd reRulntinnn of the Tr�rctt Nnter Compnny, nnd mqnen <br /> •. .,.. � <br /> ,�.� ZhH� p ;'�1�, Inch tap Ue ineerted In O�m m�ln nt 'he pinre nlm�c stn�wl. <br /> .. � <br /> ,, ............. <br /> � �............... ................................ <br /> ........ .. <br /> The PinmL��r who a•III do my ��'ork Is...... . � , <br /> � ....... .. <br /> - . .......................... ............................. <br /> ... �..... <br /> The ox•ner n[ the premises la...."�•^-r`� <br /> ............................. ................................ . <br /> ............ <br /> The nRent Ix............-. <br /> ...... .................. . <br /> �_ ............. <br /> .................. .......................... <br /> ............... <br /> The tenn�t fe..................... <br /> . ........... ...... <br /> �Ch� widrr rent flhnal�l Lc rhnrF�d to.................... <br /> .............. <br /> ........... ..... ............ <br /> , ............ ... .... <br /> � SlRned... . . .. . .. . . <br /> ... AP�licRnl. <br /> ' '(9cc ONrr 81dc). � <br />