Laserfiche WebLink
, _ _ <br /> ,-- -_ ,, <br /> Date G ?" �U, . <br /> APPLICATICN for n)E UfJ �:��� �GJ �`� G'G,� �y _ <br /> The �dersig�ed owner hereby agrees to hold and save harmiess the City <br /> cf Gverett Srom any and al1 claims for rlamages that may arise because of in•• <br /> sta3�lation cY the i.mprovement hereto applied £or� and flu�ther agrees te <br /> remove same upon notice fYom the City rmd to re�lace all public property d�.m- <br /> aged therebya <br /> ��C- N •NA S 1 TU 1' <br /> �) Si ,� E L-v�5 - <br /> ; <br /> =� 1' )� )-'U 'f ,;.C)E /C-il�' 2 O U <br /> �� � <br /> . ��/' <br /> � w<,'K.SnJ7iv�tC c � <br /> �.A U N T� C 1� G "r T � <br /> ' (9 ' ' � <br /> E-- I U <br /> , <br /> G. L L= � 1�.A lUGE 1�10 12� T1-� A N S � <br /> SIC � '70 `-'Wi /U� 1 F /U�G� SSH1-'- }' <br /> �', . �........2..... <br /> APF?t0`SED .............. .��.7ot <br /> , , .. �;.;cCl�,tY <br /> �/'IMET �OGt1LGl; ...... <br /> Signed ,���! ;f'•' � -� ---� Cwner <br /> � � �/,�',�' -�F'�,�/ ���fi",�' � ��� Contractor <br /> ,. i,_����.�1 ..:_��� . �,1,.,.� , <br /> � : �.� r�,.r�;�,� � l���G�L�� <br /> °!( ��`_e"' '(� `�� -Recied..��j,�[,r�' -�.: _ <br /> .�._..�.. <br />