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a <br /> - �� Form No. 14. 1 q � Fj � � � <br /> � � � 3 � ann tion No.. ,l n <br /> ' \u....... �. . <br /> .......... . .... .. ............ Btreet� <br /> ... .. <br /> ,.` �� �y � <br /> � ficerett. . ................/................. 190.. � <br /> � TO THG 3UI'ERINTF.Kllfi\'T OR T}(F. RPRRF.TT NATER CO\IPAN1': <br /> . / <br /> �� 1 herejiy npp�y� for the use o[ u�nter In acrordnnce a•ith thc rnies :md re�nlntlone o( the Fcerett R'ater Campnn}•,nnd rn�uevt <br /> � j6rt r�...���1 fach t�p b.� Inscrled In the mnln nt the pince nbnve ctnted. <br /> I • <br /> � tThu�..p�"ymbcr a•ho a•Itl do my u•ork Is.. ,,,,, - <br /> . � �/� . ....�. ...... .................................... .... <br /> �/�/� �'��, • � .........5 <br /> � The owner of the p:emiseq In......'���'%..�:t 41....`�""'I '�—......... <br /> i ........................ ................ ��. <br /> .................... ......... <br /> ' Tho a6em Ie............................. 1 <br /> ..... ...... ....................... ... <br /> �,/ �� ................................. .............. <br /> . � The tennnt IF............................ <br /> ... .C/.�N......................... . <br /> ...................... <br /> �/ �� ............. .............. <br /> � The wnter rer.t shovld be charged to............(/�!�J <br /> .......................... <br /> ............ .... ....�... ..... <br /> . . . <br /> . ..... ... .. <br /> � (9ec Otltrr dldel. Slqncd........... .. ....... .... . <br /> � . .. . ... . . .............. <br /> APPlicnn� <br />