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SU _'IT�"�:^r-" . '!'T pni)'Pi:4ENT <br />CS,� �.�''_i.�" � � . ��. :L�,^,f2DS OF <br />THE Ui;D`c��,�.,,.!,-i..;' ,..'._;�ii,ifOR'f. <br />INSPECTIOfJ OF SIGiV RtQUIRED <br />B[FOR[ ERECTIQN. <br />CALL 259-II885 FOR INSPFCTION. <br />/ �. <br />� -� <br />� , `} <br />���/ � <br />� /%, � <br />� <br />- / ' i <br />Date � •;' �c-/% t <br />� <br />' !LiAi�-L/. <br />- L ✓-' ' • <br />APf��ICATIUhJ FOk �-/�,�� -- � •�/�"'� �_� " _,.,/ /-'— •�-. . ' � <br />% : ,,.. � � , :ti �, .. <br />The undersigned owner hereby anrees fo hold and save harmlesc the C��,y <br />of Lvereff from any and all elaims for damanes th�t may arlse because of <br />install�tien of the improvement here4o applied forp and further aprees to <br />rem�ve same upon notice from the City and to replace all public property <br />uams�ed thereby. � <br />1 P../ /',-�� � �/l �%. � / .� �� �.'� ��`= � � � Al � / % V �� , ' /: .. . . � <br />� � _'- ' / <br />� ij � G / "' /iyI � <br />li <br />/ C /%��0� %• <br />-S /�/�- i/ii' f., <,� I K' S' <br />S�gned � �'�''-i�`-" <br />✓� <br />, <br />L.�['/"'ii. S�r' %� .� l' 6- l� <br />� <br />s <br />� ____— � � —..-_.____ <br />yllf�' . � . �� /'lt'f 1�.. .. , , i, � -!' ��1.. <br />, . � <br />'�-tcG 7—Gle-7v <br />DFt �lC��?�7G:�7Z <br />� �..ri1�— <br />(1�1'aCtOf� <br />CITY OF '�:t'i:nETi <br />APPROV D FOR 6UILUING PERMIT <br />�/ L4 �� Y �� '/i <br />Date----- BY ------ <br />