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ja �,�".5 <br />j��// <br />Date , ... <br />APPLICATIUN FUk �' �' -' � ' ''� <br />�,:1 ,r ----- - _ : - _- . <br />The undersi�ned owner hereby �rees to hold and seve h:+rmless The City <br />of Everett from any and all cl�ims for damap�es {h�t may arise because of' <br />inst�lla{ion of the improvement hereto applted for� and further agrees to <br />removz same upon notice from the Ci{y and to replace all pui�lic proper{y <br />darrv3ged thereby. �..'�S n �'—^ � r,=i �_ �� ,•: ; � , , ( i <br />%. �% �` =�� <br />' �— � �,,zxz x:/�� <br />� ��t�'� i��; c .t� . <br />cor,S}, <br />\ <br />\S J / <br />I � I <br />�-� C-. D V %!l.; 'r_ i <br />I <br />Signed <br />m� ��� � <br />�y/� <br />i <br />Uwner <br />tractor <br />� <br />