Laserfiche WebLink
------ <br /> ------ -- - <br /> � -- - .. <br /> For�n no. 14. � � / 3(„� <br /> ............1Y�yl��Ilcn�Uo/ry Nn'��..../,.... . <br /> � \u...�.� .�. a � /`-vTi�cL ....... Strect. <br /> 1 <br /> Geercll... . . ...�`��.....�..�.............. 170.? <br /> �� ' TO TBId 3UpERINTFKOis\T OI' THIi P•.\'1;RI:TT N,\T!•:It C(�\IPe1N1': <br /> , 1 h/er/eby :�pnlp fnr tL•e nar of «•ater In accordn;ice �cith lhc rules nnd reF��lntions o[ tl�c Pcerelt R'nter Compnn}•,nnd requrst <br /> �that�a.:1l�j/...inch tnl� I�e Insrrte�l in Ihe muiu at t6e pla��r nbu��r etnted. ' <br /> 'r�`pinmher n�ho w(II do my wurk is. /............ <br /> . . (/�� /�/., . �--7--.—....... .................................... .............. <br /> Tne awnrr of thc p:rmisrs Iv................... " '"����`� '• <br /> ............................. .................................... • <br /> ..........:... <br /> TLe e8entis..... ....................... .... ............ <br /> ... .............. .................................... <br /> J - .............. <br /> 7'hc tennn[ In............................ .... ....�itA <br /> � f� .�.,..................... .................................... .......... <br /> , The wmer rent shcul�l be chnrged to..............�,`;"' .... <br /> ..................... ..� . .. <br /> � . . . .....�......... .............. <br /> � / <br /> • . Signcd.............. ....................�-!!L� <br /> (3re OU�nr Sldrl. � ......... .............. <br /> • Applicnnt. <br /> / <br />