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a <br /> • �#3 � _ <br /> . � <br /> Form No. ;a. . I �^/ � _ / � APPIIcation \o...�.....�.�..... <br /> �"'�V <br /> : Nu.............................. . .. 9trem.. <br /> .. <br /> i T:ceretl.......... ..�.••• <br /> .../.�......... 190..� <br /> ; TO THE 9111'i3RINT1:NDf:\T OF TI16 RCi:RI�,TT \C:1TGI2 CO�1P,\NS: <br /> I'hyreby npp1Y ��r th� uee o! �vnter in nccordnncr ��91h thr rnl�e �J regnlntlons ot the P��eretl l\'nter Company,and request <br /> � ��� <br /> ' � O�nt a.�.......(nch tap Lr Imactted In the n nt t.hc Plnrr ice ted <br /> "' '" �2GGU�,CV. <br /> . . . , .... .............. <br /> ,'ypm� P��mber who «'ill dn mF e•ork Is... ... . . ..... �.. .......... . . <br /> � G"�,�..'.��-v✓........................ ......... <br /> � The nw•ner of fhe Premisea fs............ ........ ......................... .............. <br /> .. ........... <br /> � The wRentie........ ..................... . ................................... .............. <br /> ................................... . <br /> . ............. <br /> Thr �ennni. lA............................ . ................................... . <br /> , <br /> ................................. .. . <br /> ..... ....... ... .... .. .............. <br /> , The R'ntcr ;on[ oUould he chnrFed to................................///..-.���.. .�.,/ � <br /> I j,�� SiFnrd.."�'.7�'Yw.v�.•..lZ�•f!�"<•._.r.•:'•.......... ... <br /> .j� , O �Ilcant. <br /> - � 19ec Other ylucl. G��� ��/ <br /> 5� <br />