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1 <br /> i, <br /> i <br /> i, <br /> _ � <br /> , / I ��� 1 <br /> � �. �'/�� � <br /> Date � '���i � � <br /> i <br /> APPLIC�ITIGN FUk �•: ,� � � ' ,/�, �-. -� _ <br /> � � �r /�1 :j_ � t / � ' <br /> t � , i I � � 1 . . . � -� <br /> The undersigned o�vner hereby agrees to hold and s3ve harinless the City ' i <br /> of E rett from any and all claims for daR�ap�es_ th=t may arise beceuse of � <br /> inst3l ation o�'�the impro�(ement her�{o appl�ed for� and further, agre�s to i <br /> remove � upon`potice frhm the Cit�; and to replace all public prope�ty <br /> darryged thereby. � � y . � <br /> ' ='• _ti � - y� � . _ .:. �i ;� � /_ � � .� I <br /> I '. . <br /> \ r J r I <br /> r -A ; ;���: `- _ �� :.:� LI��iRa y�+t.. ; . <br /> Y <br /> � ,�^ �: ; . i /�I('I'Y' I <br /> .�, � � �.^�c.'� - , � � � <br /> I II 1a .;i_ <br /> . I '', _ �_ _ .., __./. : .._ - <br /> L-g�, <br /> �- . . <br /> � <br /> , � k� n� Y / CW <br /> , <br /> r\ D P,'1 V I �' P� , -� ' <br /> J ,� <br /> „ �'� � ( c, <br /> n') r j-, .:� ce �--- <br /> 1 �� - <br /> ♦ <br /> � . —_ '__ . _ .' _._ ___.._. .. � <br /> . . • <br /> � / , � ' <br /> S i gned _ � T%r � �cT �•�- �.; �- .i Uvrner <br /> ' / <br /> ,-,-- �, ., � / , ,� <br /> ' ' -c- - - A - /,• _Contractor ' <br /> . � � � , . <br /> �N�. �'�_ ���� r.r�i�/<._.��`l=�.�- '1' -. . �. <br /> �u�`'- 9—�0 ` � ' <br />