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� '#4' ._ <br />� <br />�i <br />-�f - o °. `_- 3 '= <br />• ��-� ' <br />Date �-��(03 <br />APPLICATION for <br />� ���/q/�� � � � • c� <br />'-�-'^^'�.-t�ovcl�l-tr � �/r� <br />The caulersigned ow�er hereby agrees to hold and save harmless the City <br />of Eberett Trom any and all claims for damages ttwt may arise bec�use nf ix�� <br />sta3,lation of the improvement hereto applied for� and Further agrees to <br />remova same upon r.otice from the City and ta replace all public property dam� <br />aged therebyo <br />' ! � ��: <br />%�.' �� 1 i �-`.. �r� <br />� � `� Z <br />� '� � F�: , � � � <br />� ,. <br />f. <br />� <br />u.,,�irc-r !'�/%`^"' <br />1.0Ca1ion Aoprove� <br />,�:�,a�t�� y..,���� .. �-..�. <br />Si�ned <br />���� , <br />��•� p��� <br />Owner <br />��/V .� �.%L, i"/.R.�-c�J --- i'nut.t.a.;t.,i. <br />�..�QJ �y/'.t?�'�C�-� <br />�� �.�- <br />;-�s�ov <br />�_l�_�3 <br />c�-�re <br />� <br />