First Schedule., The Freetown Improvement Short title

Notice of intention to build . .................................... Ward (.................................... Section). I hereby give to the Public Works DepH.rtment notice that I intend to ect a* ....................................upon the .................................... side oL ................................. Freetown, e:rticulars of which are described at the foot hereof. p I f "d . . h' .....................................p an o sa1 premises accompames t IS notice. I propose to complete the building within................................... Jrom the commencement thereof. Dated this....................................day oL ................................ J9 ...... . ............................................................ (Name) ............................................................ (Address) To the Director of Public Works. Description of premises above referred to.