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Date _( ` <br />APPLICATION for <br />,9, -,fie <br />T under igned oyner here " agrees to�old Ce hafmless•tfie City <br />of Ev ett fr�m any a�A all c _s for dama es that y arise befause'" <br />in <br />of the ifnprovem fit hereto ap, ed for, and flirthe agTe- to <br />remove sad upon notice frothe City an to repla e all publi pro erty <br />danaged thereby, l !!! <br />pac1q, m0ec -900 <br />Grfi�l• u/v _ =c <br />Signed <br />i <br />Owner <br />Contractor <br />