Laserfiche WebLink
1 <br />/.�a � � <br />y� � <br />, .3'/%Z � <br />i <br />Dat� � u t�I 2 7 ' 7 Z <br />APPLI.CATIUNFUk ��cv� �t -hc� ,�v� , i�SiN� SiL,U <br />�,e�5� ,, � , � Fuisr;vc-- <br />The undersigned owner 'iereby agrees to hold and save harmless the Cj{y <br />of Eyerett from any and all claims for damap�es tha{ may arise because of <br />i�s{etlation of the improvement hereto applted for� and further agrees {o <br />rertave same upon notice from the City and to replace all pubiic property <br />A� damageo thereby. <br />: � ci 2-�i cLc�C E iur� l�c�; v A���. <br />� ,4; j So � �����2c�,,, �,�-y <br />r' <br />, ���Ty <br />� v u, � � G �'- 5�� ��— <br />� � <br />r ��. � o � <br />Ex�iSnu6 ��v�� 3_ <br />���.i.1 �\�t.� Z ' ° �- <br />Slgned �- <br />� <br />� ; 1 <br />h � ` 1 I `� � �-/ <br />'_, � � �t,sr <br />,- - <br />,���,� „�. y c�f 6�f��,-<, � <br />�Gt' E/G"lC� v-2-T� <br />O�mer <br />cirv n� ��r��rrr <br />APPROV�D FOR GUILC;;`;r� ,;j�aj;' <br />/ <br />Date ; �i 7' _.� �"— ";' �� _ <br />