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THE HONGKONG GOVERNMENT GAZETTE, 23RD MAY, 1891.
Schedule A.
Form of Common Lodging-House Register,
Name of
Keepers.
Signature of Registering
Officer.
Date. Number.
Register
Situation of Lodging- House and Street
Number thereof.
No. of Sleeping Kitchens. Rooms. No. of
No. of
Closets.
Nature of Water Supply.
Maximum No. of Lodgers which can be
received.
Schedule B.
Application for a Ilouse to be registered as a Common Lodging-IIouse.
I, the undersigned, hereby make application to have the under- mentioned premises registered as a Common Lodging-flouse, under Ordinance No. 24 of 1887.
Signature of Applicant, Address.......
1
Hongkong,
189
Situation of premises sought to be registered as a į
Common Lodging-House,,
The number of floors to be used as a Common į
Lodging-House,
The number of rooms set apart for Lodgers,
Cubic capacity of Room No. 1..............
.........cubic feet.
Do.
*
do.
No. 2,...
do.
Do.
do.
No. 3,.......
do.
Do.
do.
No. 4..........
do.
Do.
do.
No. 5,........
do.
Do.
do.
No. 6,.......
do.
To the Registrar General.
435
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