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., <br />FORM No. 1. _ . <br />LL BLANKB MUST BE FILLED IN <br />OR QROBB ED OUT. '/A'J((J,yj/N/ 1 dICIlttOn IN �V *t <br />w: <br />.. ............. <br />18y <br />'q T'1I1: �nI'1:1118TF.8nF xT DF TItB 1S\•E1tiiTT 1V.tTstt I:DUP/txl': 1. <br />13treet, 1 <br />1•:vcrett,... . <br />` 16crebY nDP1y for the use of water III nccordmlco will then s ��. <br />�IConll'°ur, li"' Iln• Itltriwses and Iixtures stated below: Bad re of tle EVerett Witter <br />�, The "'Or to be.executed b ' Ir SAP b rcqul I'd. Cross Out.g*- y..."•" - <br />yPnp..to be lusorled ll rho rants .• l'lutnber. <br />.. 1Vntcr Closet.. ............Hoeg ]i1b..tor buiWln.,V••'• <br />-"�l� % ........I..�Rath BPurpoaca. <br />/ ........Homo Rlb..11lalde. <br />— .../Plaunl ............1311). for stable contaluing....... @tall.. <br />/ I;Sido Faucet l 1 •..No. Yeraous lu falnlly. �% <br />Eldon Ik 11' tor... Tle proudaes to be used as n...Of! � �...... �.Hoso It outside. �nFL��� <br />Slg��� 0-0 <br />