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<br /> Date q %.�/l �
<br /> APPLICATIOI4 for -. - ' � • -- . � , _ • ., u�� ; _..^.�,c
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<br /> � Tho undereigned owner hereby agrees to hold and save harmless �fie�City
<br /> of Evere't from any r,r.d all claims for damagQs that may arise because�o£"
<br /> installation o£ the improveaent heroto applied for� tmd f5irther agroe�"�o
<br /> remove same upon notice from the City and to replace e].1 public property
<br /> damnged thereby, �„� � ,
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<br /> n� � I I ' ' , (i_• �' _ - G.OIUU�-E'i-f`
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<br /> Signed / �iL i/� / �pr
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<br /> contractor
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