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C <br />—�--- — � '� � � O'� <br />Form To. 14. �� _ . / / AD�I1Cnt On No./. . ..... � <br />, 7 7 / �[�,,?�tr-!�7'S ... s�ree� <br />2i � <br />x�� ....................... . ,........... <br />-y � - <br />.... <br />/ ..... /� GlT/�y ,..� �........ 7DD� <br />F.vercll� ......................... <br />TO TIfIi�IIPF.RINTR\DIe\T OF TIIIi Is1'PRF.TT \PATGR C011PAKS; <br />1 1t rr4y nppl>' fm thr nxr nf water in ne`eMdenec w•ith lhe rnles nnd rrF��lntlone ot the G�'errtl Wnter Company, nnd requeat <br />tLnl n..� .......Inch tnP bc inecrtcd in thc main at the ploor hb��'e stnted. <br />�� . <br />ii <br />Thr PW� Jicr u�ho �eill dn my �cmk Is.... .�^........I.. ��. I......... ... ............................... ......�.... ^.. <br />�� ���7i1/yk6;[��..�lf'(�rllf� ...... ................................ <br />Thr nu�nrr of tl�� Premisre Is ............. . ... ... ... . , ...6�:......• <br />� .................. ✓ <br />v, 7 . .......... <br />,i . ... .......... <br />Thc nRem Is ............................. .............. .. .... ..................,}' ..� <br />............. <br />tft�� ............ .............. <br />Thctennnt Is ............................ ............... �`.�!........... .... ................\�� � 1 <br />O�f � ' <br />Thr wntrr rrnt s�mnl�l Ue chnr�:c�l to ............. �•' <br />:.......�'.�: -. �........ ......... �.. <br />....... \. <br />� ..................... , f ' '1'/L7l( � � � <br />,O�fi+ar�% , � '. ..,........... <br />s�Fnra......�. u . : n.......... <br />......... )tY�a< j " annue��nt. <br />� �l I <br />Beo Oth�r 91d�1. ����('7lC�zy7 -��4'�LI�•L/ � <br />`J <br />