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Date 1� —/Lf— S Y�
<br /> APP;,ICATICIJ Sor �M��c�-�.�,�Ld�t���,�1�-V���—�/7d��4���
<br /> The amdersigned oxner hereby agrees tc hold and save harmlesa the City
<br /> of Everect Trom any and all claims for damages that may xrise becauae of in�
<br /> st�lai:ion c_ the improvement hereto applied for� and further agrees to
<br /> remoroe same upon notice hrom the City and to replace all public property dam—
<br /> eged thorebf, � � 1 �
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<br /> � _ Contractor
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