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�z, g' �/ / <br />Date � �•�„J � �i;1� L <br />„ <br />APPLIC�\TIUf�� FUk �����_ �7 p.;�y_,4; ; <br />�.%,,,.d,C,t<,i�CJ .,�.;. _w:��t.._...vr,1 ���� �='-�-1"-^--"° _ <br />The u�dersigned onner hereby a�rees to hold ar,d save h�rmless ihe City <br />of Evereit�from afiy and all' cl ;ims /for cJarna�es th=t`�rnay arise becau�se of <br />�nstalla��on of./the imprav�emert{ h�Feto�'applied fgtl� andifurther agtee� to <br />remove �ame up fi notice�rom ihe Ci{y and to replace a'll public �fioperty <br />dan��e{I ihereb�. <br />/� / / <br />r,�,.z.� _ z 7�.,-�_ 2 3 � � <br />��� �'' ��� <br />�trlJ1• — 2. C•w — 2 <br />t <br />� �l /.� r' / Y C�. � ;7 y' � � �. � .� `� <br />li��./�� f��� !� � <br />.�y�VGJ QJVV l..•.� (.,""l�V� '�-���iIA�L/���'+ <br />1 <br />� / / <br />Sipned t'_:L,L'1�,. .-.0 i-, Gi;, _,' <br />. /�.:ic,�Ci _ - , � �,�, J�'. ,. �r-,, ..', Uwner <br />actor <br />a <br />\ <br />