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� <br />APPLICATION for qn�+alloiinn nf nnn Am�hl�, �P.+rrA -�nint� <br />�1;,-��rr>od i:itii aplique at Broadl�ray 3rakc & Iit+Sfler Co,, <br />Si�il to be inst:,lled at ri��t .in�_es to t�e bu'_ld$n�-. <br />, xi�,, A3��� <br />adwa�, <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />�berett from any and a21 claims for damages that may arise because of installation <br />oS the improvement hereto applied for, and flu�ther agrees to remove same upon <br />notice i`�om the City and� o replace all public property damaged thereby. <br />3 \ , <br />2��y�r 2�z �( �J(a 1 \ __-' Wlre.. 0.ric�`�G�` '{ro _'�•��c hrC, <br />b.1� � I'�, I r' G�L, r �I \� OY\ C' (l �7 <br />^._�j � i � <br />�r�.G�l�.r f.. G� / � � � � <br />r_ __ �,/ T— ,_, �_ <br />��a�R�v���lY � <br />IYILI�FLF 12 ` <br />h_ � � <br />;', F I,.'�,h' C' C�ti� � _•�_ S/vN � Q_ , <br />� ISN�-lZ�v1� <br />�- �. r _ _ _'- <br />l, � r- - -, <br />� � <br />T �' �_ _ �I�'., <br />� <br />�� <br />� <br />Signed <br />�� �2�1�)�D tu�-rtl <br />� <br />2.X2,X '�JJi ah��f. iro�t, ; <br />� f a.H,aE . To e� � i <br />S�c_c�./2 EL' 7'71 /'�p�, i <br />� �7�11t�.c7c�.�Z t wrr� <br />� � B o C.`t`5 e <br />t"/ i � � .i 4',.'1-. <br />..'�.� /[Y'/?� <br />�' �r � 1� �,°�'z�""""" `„'�. <br />01�, � J <br />� K. �� �.: �i� tu:,� c�' i�:,i�; iii; �/; «;, ��J <br />i <br />- � <br />, . , �cbntraotor <br />uu�uc+� A,aproveul? <br />inspc�d,..r �'4:'��i:��� <br />� <br />b�'� � <br />°" '* r <br />'n c.� <br />: w <br />�f� <br />��'� '� <br />`:;;x , <br />4�Yr �:1 <br />