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:.nplication £or <br />Dat� <br />(. �- z <br />�a lo i1 �/ �7�'"c--z`.� / %� `- �/(_� c�% <br />l <br />�zr� �v� <br />�y�� <br />6 �—' <br />.� �= <br />- � s� <br />. .� <br />��� ;�,-s <br />The undcrsigned owner hereby agrees to hold e.nd s_va bl;sneless the City <br />o£ 5verett from an- end all cl�ims for dan�ges t!ist m-;� arise beceuse <br />of inetalletion of' the inprovement hereto .pplied £or� .�nd further <br />agr•ees to remo�:e sc�uio unon notice £rom t'ne Cit;,r :ir.d to r�nlace ell rnxU- <br />lic nrope��ty d:sna�ed thereby. <br />fio LZ e <br />� E L b,.,, <br />ae¢ou, <br />/�� � <br />A\ " L <br />,o o m <br />I/�� a � <br />0 <br />i � �- <br />I•`•- 3e'� 7i <br />Si�ned <br />INS�-tFLIeD f�E-n�nt'l�" MArr�EE <br />tAs�fl'tn7� Srpju <br />is oN ewxe2'S P�opE.:ly <br />��ec w�i't5 <br />(IS ✓� L'r <br />un.�or-r;WR�+��s LnBi=c. D,sp�N.�en <br />b eo <br />U+�Luc' - �$� = <br />�1:R1�T' <br />