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orm no. I I. � <br />/\ �/�� � )�Ilcntlon Nn. ��.� �� <br />, '; ' ` �''.......' ,-�1' � ....... <br />TO THh; SIiPrRINTE\OFtiT OI' THR I� \'IiR!`TT 15'd7'FR CO\I /� / <br />, / ...... <br />. . ................8trret.. <br />... <br />. Fci�re�t .. ...... ........ . . . <br />i . .. r:�nti: .�/.1�.�..... / <br />.iso.. <br />1 'h/q�t,e/py nPDly tm• the use nf wnter in necm�dnnre ���ith lhe rules and rr�RulntinnN uf �hr I:crroq. lFntor CmnPnnp, nnd reqneet <br />ttMt n�.'J ,'/,.. IncL lnp br Insorle�l in Ii�o �»:�0� nl thr pinw� nLuco stnted. <br />Thr pin�ilicr who xdll do my �voiq; is........ <br />.....� . ...... <br />/............. ................................ <br />Thr owner nf Iho Prnntisos le.....��"�� . �%�GL�L( ............. <br />� .........� . <br />......... .......................... <br />............................ <br />Th� aRrnt Ix .... ............ ........ .. <br />............. <br />.............. ............... . <br />............................ <br />.. TLr trnnnt Ix...... .... ............. <br />' ................ ..... <br />. ....... . ........ <br />.. ............... ............ <br />`. The �v;urr rrnt chnul�l Lr rhnrFed tn....... .................... <br />1,�u� � ............. <br />� ....................... <br />.... .......... <br />.... <br />� /j�f/ /7�� ......... <br />'Sr„ Olhur 31dc1. SlRned ................ . Jl-<.....C.,lf!.,... <br />• �z.C.G,. `L <br />��nnii�nuc. <br />