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i ' <br />' -j�/� <br />// <br />' . � <br />. � �� � 3 /. <br />� � . ''//�/� <br />Date �1� �. �`�%� <br />. <br />APPLICATIU�J F_�R ��fjy�� <br />� <br />X�._-Z / ,}a�y� ��� g' • ' <br />The under•s�gnea owner hereby agrees to hoid and �e harmless the City <br />of Everett from any and all claims for damap�es th={ ma +rise because of <br />instslla{ion of the improvem=nt hc:reto aoplted for� and iurther agrees to <br />remove sam� upon no{ice from ihe Ci{y e.nd to replace all publie pr�perty <br />dam�ged ihereby. • . <br />,n�o� ,oen ,qT,; . . <br />G"L .�/o, � L 4/6G q ' <br />9 <br />e <br />Signed <br />���� ���� <br />L�/C C.>,•r,,. <br />�� � <br />i <br />t <br />0 <br />b � ntiu .v�� i.it nsi�a <br />