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Date Q � '� ^' :� � <br /> APPLICATION for �I ' • ., �_d_ : '--� !o`..c—, �-�-'':�.� 1 <br /> G� ' Ji <br /> . � � <br /> �"J <br /> _ �:� .- :21:_.,., __ {_.`.� ..�C.._� �.�..c_r..e �.-::tr <br /> � _ , . , - n'` , —�-� 7.� <br /> The undersigned owner hereby agrees to hold and save harmless the City of <br /> Bberett from any and all claims for damagea that may arisa because ef installation <br /> of the i:r.provement hereto applied for, and flu�ther agreea to remove same upon ' <br /> notice irom the City and to replace all public property damaged thereby, <br /> � _ __ - - - __ � —r— <br /> I --y-.- ��_, � 7 + � <br /> // ; ., / pj _,,.L��':;T.j•:.'t.,'i..-:-t. 8! � I <br /> l../ /� ` <br /> � s,�o �s <br /> � e...__ _ _ <br /> ,�, , --- ___=-�r <br /> � ;. � � <br /> � �8 <br /> �4Ge � iQ� � <br /> ,�;:1, 9;,�� <br /> . �b 1�6,� � <br /> �`�Y�o�`�'y ' � �v��t� � � <br /> ,,cF ,.,.• i,�,<<,�; , � <br /> •N.A[�,�+�'•',•�/.����� � � �'l�_ I <br /> GIJ;\ 1� I . , <br /> Signed �—�"�� `-�""' Owner <br /> ,/ � <br /> / , % Contractor <br /> ..::� � ' � • <br /> -j �.::_u.� ��'(. � ;_ �`( . <br /> o �K.�.�� .�tJ�c��_ _, <br /> o►r, �;�-� . <br /> GKL������� �j+�'G: �Ar�� ��''u�l���7J �ucaiion Approue <br /> � r <br /> Inspecte � ' ?�..�� <br />