Laserfiche WebLink
� �5�' �i � . <br /> � � <br /> ! us <br /> � � � � <br /> �����0 <br /> Date /2 — � — � � ��y�� ��� <br /> APPLICATIUN FUh � LM � i 7 C� N TA c C � ��v S t Z <br /> �"` l'�t�✓ i n' G- A T' �tf-17 !� l�v � D w�i y �' ,��. <br /> ��:1> ,L � <br /> The undersigned owner hereby a�rees to hold and s3ve harmless ;he Ci{y <br /> of Evereit from any and all claims for damap�es th=t rryy arise because of <br /> inst311ation of {he improvement hereto app� �ed for� and further agrees to <br /> rertave same upon notice from the Cj{y and {o replace all public proper{y <br /> dam3ged tF.ereby. � <br /> '-5�� � � I � <br /> � r,� (r,� p � c: <br /> vw�.�.- <br /> C r�.;� = 6"'� � � <br /> - J� '---�y fi <br /> r-- s� — -- <br /> F1�IS11NG �-- �-- <br /> �_- <br /> �EAD,tR OanR 7- �l 1 � ��r...(�,,.�, — -- <br /> 51�n� � <br /> _ i <br /> I <br /> �n ' <br /> _ _ _ <br /> �j, oPDWAy -- .. ._—_. :._--__.___ � <br /> IL 5/DE W 4 L l( -�--- ---- --- ----- <br /> Signed � ; ��' <br /> Uwner <br /> i � <br /> �� � Contractor <br /> f,��, �� , �� ��� <br /> � ��- ��� <br /> , <br /> �. ,,� . � . , <br /> �K.�� V. �-�IX.�i�w�. <br />