|
� S.� PI;I?h1IT' 111?I'T�TCA7'IOtI
<br />SULit•1IT JiVIDli1dC1; ;lfi�'� .]CnUIPPiP.'11'
<br />E0;�1PI,IPS S41.'1'13 7'}I1; :;'P�li'I)iJ�1��:t C>�'
<br />AN API'IiOVf_;D '19iS'i' i L'C; 7-;•T;�)!�.1:'lY)]:� .
<br />IlISP1:C'1'70N (lP ;'1:G:•1 li)] 1�1:!�
<br />nr.s�orr; �:�;�;c�rro��.
<br />c�+r,i, zsn-�; �as ror, zt�,si�r;c�����o�a.
<br />�
<br />. �lpplic�lt:ion n,tc
<br />�./1G % U S �l /-iC�2 ✓ G fI� %
<br />�� r--/,> - ;,�,
<br />" IIDDRI:SS t�.�r.i0 E�k'G/it�i'l C,�_.''.5, �U.�.-��' � C L`�UTi, wt�.
<br />� ' `Phe widersi czned o�anen c�reb�� arTrces Lo hold and save harml.ess the
<br />•'�' City of Lvci:etL- ftom any <�nd a].]. cl.airns for damaqes t:haL m<iy ari.�e
<br />; `" hecau.s•'e of: installati.on of: i:he i.mprov�ment hcreto ��ppli.ed f:or,.,anQ
<br />�; .
<br />ftirther. agrees to remot�e sninc� tipon notice f:rom tlte Ci,:y and to r�•-
<br />' : '= p.lace al]. publi-c propert-}� dar.�aged thercUy.
<br />H
<br />..._ . --- ' VALU]•;: r�/�:L'�C'.oc+
<br />�
<br />, i
<br />Ir --- 12 --
<br />_ . . _ '!1\ . � b .. . r. . n � u✓J �9 L Ur. o
<br />� � . SZ6N , Si� �.(�XTr?
<br />...Y��! f�K,.t?✓.•�:. �.jM' S!(.ub�.i. -yal.�.77c
<br />1..- f���fr_1"J.-ri7ou.v7Er7 c�i�N �,,:i.x�,�•
<br />�� _:.G fia�: S irf!?� S?6N FR�'net , o
<br />, � � __..-..'_:- �._�.�._r.....—.. r.': ._....
<br />, l' . ,..,� ---� .
<br />o� � ;"
<br />� � �'�' , ' , o �
<br />, �� ,
<br />� � I
<br />, - j
<br />�,. � _�2�}r?r —!---' _ —
<br />— ----c��. ,.
<br />.i.
<br />,,
<br />CI:i:CUI'PS:
<br />I'E1:: _
<br />. _' � rz�rc�rr rcr+z,
<br />�
<br />I
<br />-- � --
<br />i
<br />q, IJZ.�
<br />G
<br />TO'P71L FLL'S: _
<br />�GOT;
<br />�
<br />(��b°
<br />, si ,�
<br />�� ;
<br />--�- =- �
<br />�t^���;1i���
<br />i�c., ,,_ L�'-
<br />� ��'�
<br />� VEnC'l'C'�N r.-�f7� -
<br />�o.�z.�� ��
<br />�°/2����. ��.�
<br />�,
<br />�
<br />Signed �.r-nf�-., �.'�. -- --or O�ancr
<br />- r' f=/P/�J�« v.� -•-�,-� �,j 8 F: ���.-
<br />Contr.acior _�j�'y?/i'% /t%L,C.�J ST6f/ (-�l ? id27 < � . _ ,. , ',v.�,�.
<br />,
<br />Licensc No. �z1.C�, � .,�, �,�. ,.:• _.�; ;v-_ -� f'_ �-�
<br />� ��/ �' .' � ,,
<br />-�. ;
<br />i� ; ��� �.._'�. " �� —
<br />
|