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<br /> ' CO::c L]:I:;i t'7.1'171 illli iTAI:DA1tD:i OP • . •
<br /> ' J+tt I:PP1tUVED TL'STI21G 7,AISOIUITORI.
<br /> I1�SPIi:C'PI01� OI' S7G2d 12GQUIJ2PsD •
<br /> L'Ez'GRE ):1:1iCTT0I7. . .
<br /> . G,LT, ?.59-II745 L•'OR SIi�PECTION. " .
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<br /> • ' Dppli.catS.on bate �, -,.�I' 77 � '
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<br /> )•JDFcESS � (p Cn�' _ . C�-OC_f3 S� ' �/J�/L,�i4-i�ft�'�... �• I
<br /> ihe i�ndcrsigned owner her.ei�y agrees to ]tol.d and save harmles:, i:hc �
<br /> City of ]3veretL- fro:n any and all clai.ris fo�' damac7es Lhat- may ari�c I
<br /> b=cause oi .i.n.tallaL•ion oL the irnp�-ovemenL• he�.eto appl.i.ed for, and
<br /> f.urther. a,ryree, to r.ernove sar.;e u��on notice £r.om thr�, City t�nd to re- .
<br /> ' pl�r.e a).1� puLlic pr.operL-y dar�aqed thereby.
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<br /> -\�j • Signed ' .14.I, � . .. : � �''-�4Tif�'ti�f�—��'1 '� �''7C-, � �anc'"'�
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<br /> 1� ' Contractor. . . ..;:�,11 i7� ' ' .�.:/�� . G�23 -�i O(� .. ' .
<br /> �� r.x��.�,�� iu�.��=�?'�L.S...�ic� � 3.30 n..t/ � � � � : � �
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