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. i1 �;�� � - - - - <br />,� <br />, ,,.,,� ,� .,..,..,,,.,,, <br />APPLICAI'ION f=OR WATER <br />All Aianks musl br fillyd in or crossed out. <br />/ <br />/� % <br />- . <br />in, a t � i I�!y �� ��•� /�3 <br />� � � "\dJ . . . .. ... .\pplii i � i So <br />/jjny //r � ��///� 1... . <br />�/ � <br />\u ... `/ `(/'�C,� c�rr�.i I?crri�ll� . �_%<-C.i �L � � <br />.......... <br />1.11 <br />I��'1'llli .\I'1'IiI;IS'I'h:\DI<\'I' 111''I'llli P:\'4:I;ICP'1' \C:V'1'1;1; l'll}II'A\'}�: <br />1 L��rrLc npply Ln' Ilu• irvr-nf u�ali•r in n�����irdnu�v �cilh tLr rulr+ nud rr�� <br />ul.ilii�n. n; Ilu• b:Y��rrit llldrl' 1'ui i i.np'. la <br />I r tlu• pnrp��.��. nnd listurc: �tnl���l <br />I,� Lix . <br />Ihvin�; iLr linir �hnL m�c n( ILr l'umpnnc'y mnina mnp Lr LJ:��n up hp rr:i� <br />-.��u n( :uq' imprncrmrnt. nnlLorimil Lc tlu• ('ilr o( F:crralt. in �rt uf m�P .ah'rrl <br />•.i nIL•e in i�iii��L IL�•v mnc Lncr L�rn LiiJ. ILo l'�nup:wc �cill nut. Lr rrqnirrd 1�� <br />i�n ni.li v�utrr durinp ��ru�,�r:. nf .urli iinp���crmru�.. lu nuY ronenulrl' q'Iln.e pu�r <br />pl� m,.n' Ilm+ Lr ��itl o�L ur Lr IinLlo (ur nnp d�nnupr: (u� il+ Luhu'r s�i tn dn. <br />7�h�� ����rl: 1�� Lr 1�?r�•W�•�I Lc ................ I IninLi�r. <br />/ . ...................... ' <br />�L�i�� �i:�• ul t:�� u <br />.. �L.'I'iq� lo I., in+�•rlyd in Ihr mniu. <br />�.1t:i1i•r rl�nrt. <br />.}.�Ifulh <br />��I�rivai. <br />C�/iQ l'L�in lewi� iu.i�lr. <br />� / <br />...��..�id�•�culk na.brr. <br />...�`/..Iln.�. Lih nnl:idr. <br />.. �...❑n.r LiL (nr Lnil�liu�_ piup.�.,�.. <br />. �- . . Iln.r LiL in.id�.. <br />. .�.,:1tiL (nr .I:�LL� rnnl:�niin,........l:ill <br />� <br />�"� .\uud�•r �n•n�in. in fnmilq. <br />.. (i�� CumLrr ni rnu� iu Lnil�liil.) <br />'I In� pr��mi,�.. :u�� b� Li• mrd :rv n.. /��f,i- �'f <br />'I�Lr u�cnrr uf lhr �immia.. i. .`�/ .. � ��/(,(.1 ....... ....... <br />'I '�,�. . �. ��u� i.... .. . .. . . . . . . . . <br />^y~' O '.�Gw„�'- . . . . . . . <br />�i�md . . . ... <br />.. ...... \� � li :m�. <br />.�. �ni�„i ,i�l�•.) <br />/'_ <br />i <br />\ . <br />