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�- - <br />� <br />, . ,4 �iU �� � �� � � � . <br /> " APFI.ICATION for <br /> The undersigned o�cner herebJ� a�rees to hold and save harmless <br /> the City of Everett f�rom anp and all claims for damgAes that <br /> ma,y arise because o:' ins`.�liation of the 3mprovement hereto <br /> Cityiandito rePlaue��1i1 ;ublic propertyedama�edPthrrebyce from <br /> ., �05� <br /> 'OGi i ' " • <br /> .,,,`�,'t� � � <br /> i'�. ��- ..- .....• <br /> ;' � ,,,,,.� <br /> , <br /> : <br /> ��� , , .: <br /> ti. <br /> ��" ` ,, <br /> �::" ) <br /> /1� � � ��,:�,_. <br /> , � <br />� : Dated / /� � � ��S � Si�nedC � �' ` :� <br />