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_ _._ _ _ _. _ -- ------- --- -- . <br /> , / � <br /> 1'arm No. �4. �"�C� / __ �PDli�ndon No.. � �.Jba� <br /> / ..... <br /> .-.i � - . _� .- �� �/ � <br /> . _ ��_ �.�GC/ <br /> Nn.......... �..��..a.'7.-.�.% '.�.--.:�. .... .............. Street. <br /> � / � <br /> hh•e'rett�...............4-.-��.J�.:..:1... .... 190::; <br /> "CO THI. SUPGRINTEN;.E\T OG TI�IG li�'IiRRTT Pi.\'CIiI: CO3IPANl': <br /> I hereby npPty for the nse of wnter in acrordance �rith :he rules and re5ulntions o[ the licerett �Pnter ComP��nS. :�r�d requcs[ <br /> Utat n.:..���.innL tnp Le insertrd in the mn(n�nt the piace aLace el+�ted. - . <br /> , ' S_ .i, �., � <br /> Tlic�.,himbcr �cho �eilldoml' tcm•kls..C:7GY�F.`a!f.�1::�.� ..-:_�-'::�ji/�<�?••:C-`.Yf:.��(y:-.._.... <br /> ............. .............. <br /> .:, ` �. .. � ' : I ' <br /> . ' <br /> Thr, ritt�ncr of tnc Premisrs (s..........��.:3:�..�£i..�.���f..}�......... ....... ...........................��,............. <br /> Tl�e nF,�ncis........................ .... ..............C�'�.................. ............... .................rf.............. <br /> � Thc te��umt Is............................ ............:�`�.-.-............... .................................... .............. / <br /> The e�alcr rent sliould 6e charged to.......................... ........... .�..../ ✓�� / . ........... . <br /> . . SiFm,.d........... ��f..' <..7.../...��J.�::.L= ...... <br /> /�••' �... ... <br /> f5ce Otiter Si�le). ' � plicnnt. <br /> � <br /> i <br /> �.� . <br />