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__ _ �� � . <br />� Date _L�?9-�_S� <br /> APPiICATiCN for --��� � �����%Z � <br /> The midersigned ouner hereb;� agrees to hold and save harmless tha City <br /> o.f �erett from any and all claims £or damages that may arise because of in- <br /> uta3.lation cf the improvement hereto applied £or� and further agrees to <br /> remove same upon notice froro the City ar.d to replace all public pro�:erty dam- <br /> aged thereby. <br /> � � <br /> � Md FQ4/EL' <br /> �_. <br /> -— �+J <br /> �/�f �"rr'N`t - - , <br /> ` l <br /> '��/ s;ee w•nr,� <br /> � s'"�v�6 <br /> � <br /> / �--_. <br /> AAp�2p3,rD �r� ��.��lz;_l �n-� <br /> �, S�de U/R�,� <br /> .. . -:.:.� , �_ g — .s�l <br /> .,1lA� <br /> .. Citp Cl�rk <br /> > <br /> ,:gned / /� .`..�.� ' .�.�� _�Owner <br /> _� �`�ji� / �Q� ,��i� _,Contractor <br /> '�--�_ <br />