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1 <br />. <br />���ti� <br />/5 f �: <br />Date aQ.� / � <br />APPLICATION for � `7 0( d" " (Ciz�i� ' ' ��'t2 <br />��zL>� `9�'�,.,.�..;,-�.�zz`�� �� L�, �' <br />Tho un rsigne ownor ereby ree to j%ld and s v�, han <br />oS Everett rom an and al clnim £or dam es that m,y ariso <br />installat'on cf t e impro ement ereto ap�ed for� d flirth <br />remove � e�:pon notice rom th City and �to replac a: ]. pubZ� <br />damaged thereby, <br />��C.�'% <br />��J ' <br />. � �i � `�-�: � , r <br />CP(w� - i �:� - � `=° �- � 6 G <br />S_gned <br />n �:;����'�-L.'�- <br />!/-/� <br />�if %%�'��� <br />'ofy <br />i'�o <br />, <br />� �til%�� ��c�% cL�����:(� c% .a,,..•�-r-=��-�p <br />✓ � <br />a'--d—a—�-�-- <br />Owner <br />�� ,�.���`�` '-�.t., <br />uont acto <br />. (� <br />�oi�„� �C)�� �C..�. ✓�.�L-�r'^J <br /><l`7 «<.,.�>._• Gs< <%; :. <br />c , <br />(���� . !%�i���- ���� �� <br />' <br />