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<br />APPLICATIUN FUk �
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<br />Date �� J 2 � ( 7�
<br />The undersipned owner hereby aprees to hold and save harmless the Ci{y
<br />of cverett �rom any and all claims fbr damapes thet may arise bec?use of
<br />inst311ation of the improvcm�nt hereto anp;ied for� and .`urther e.r_.rc;r, to
<br />rerm�ve same upon notice from the Ci{y and to replace �11 public pr �rety
<br />dama�ed ihereby. /�jj�,�� — Z� �o
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