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i <br /> ..�%� ��� <br /> � � � <br /> (� ��✓��~ �' �� � � <br /> �r '�'.. <br /> 9 J �� � �_ � ' �,.,.s�,y�l � <br /> ;� �y+�'N , Date �� �'���o ,�A ' <br /> y �:��=:'� ?��-' ,1 � � _ _. ./ij- � .. <br /> APPiICATION £or <br /> The amdersigned rn.mer hereby agrees to hold and save harmless the City <br /> oS Et�erett from ar�y and all claims for demages that may arise because oF in- , <br /> sLa3,lation cY the improvement hereto applied Ser� and flu�ther agrees to � <br /> remove same upen notice from the City and to replace all puhlic px�operty dam- <br /> aged thereby, <br /> �� ; <br /> �� <br /> �a T� �..:t._. ��N <br /> ��� ' A117C•LC �jd2ALL fJ I <br /> ry�j� ---_ _.___.—. A 1V ra �v Y E ll , <br /> i <br /> \ i �cor� c.r1 �: <br /> � � _ ��Y � <br /> '��e -> ia + <br /> � � I <br /> ��� �. ���� � : 24 i, <br /> � � <br /> � ' <br /> Ge.. '�� �'. a ��� Ce � Y� I� i�.�Y.c,UIIC=�-� ' <br /> �� - 100 � <br /> � �y APPF,(jyL'D L'�:; 1 ' ,, _., <br /> ........... <br /> ... . . .. ....., •........,.,.r�,..,,� <br />' o.. . ... . ..... . . ... .Ctt�Cferk <br /> i . <br /> � , c �n ►z P��u ,-�r�" �Dr.v�v�K ) <br /> ' � • � a! � �ra •, <br /> Cl • ' ' � cL� „. � ,....�.- t • - ., <br /> � . ,;`,� <br /> Signed `� � AN�O�tX�Owner <br /> / � <br /> • �j��'�l/f�(U�/�'�"'"'!=•-'�'='" '���c!�'� Contractor <br /> I �K . G?�-.1� J.C��r'._ , , �; <br /> , <br /> , ; <br /> ., . , , <br /> l,'k �, . ,� :��t � <br /> �� ' � �� . �__. <br /> , <br /> , IJ �,fG��t-�' . ���w`�/ <br />