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�: <br />Form No. 74. <br />Applicntlon \o...�s. b.'�.�r� <br />.- ,`, :1 � . <br />\��.�..(:l..Ci.:.lAL`1��.�"l1G..........J.3�/..I��irrC.. S[r�ul�� <br />Iicerett,..fG.<dt�'�...Cv��.,�s�....lG........ �:m� <br />TO THG Sl1PGR�?i9'RNDFilT OF THP•. P:\'IiRiiTT \PA9'RR 00\IP.\NS: <br />• <br />� [ herebp npplp tor [he nso n[ watm• in nccordanre ��9U� thr rules nnd reK�llnllmts nf the 14cerctt \Fnter ComP��U', �ml reqnesC <br />that a..XL....inch tnp he Inse�ied In We mnin nt the ilncr nboce stnted. <br />Thay � �..I�... � ' <br />;Ph•.^'mr n�ho n�Ill !!n mp �cork Is...... .. J ��SPll.,i�� .... .............................. .... . . .......... <br />� � � " _ � <br />�,The otCncr nf thc P'cmisoc �s.......�%!'..G�t :......C��%��!V4..j4.'1 .... ........................ ........�..... <br />/ 1 <br />The aRentis.! ......................... ..................... -.............. .......................... ... i. <br />.� ........ <br />Thetennnt Is..�� ..................... .........../.... ` ... ................ .............. ............. ....�1.............. <br />The w•ater rent shnuld br ch�rFed to...��..O.W ...G.vI%.'�T!!� .:. ... ................................. r............. <br />t <br />fSco Otlier 3idc). <br />(i1 � j,/� Q.� <br />StFned ............... :Y.�l�:.. %�.�.:fl�..:.. <br />t:?.L ..... .............. <br />,�nnncnnt. <br />