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/ <br />I I L' `` �' <br />r <br />��� ��� _ <br />�- <br />Date_,��,_:7 // l�� 7�i <br />APFL I CaT I ON FOk ,� 7 3 �� j -� �� <br />�)� �_-! � , <br />'�`-�c%,1.(,".�. ,`. , < <.c.,.,�-�,.� —_— <br />-R'� �'..-N^� ('� "�. � <br />The undersigned owner hereby a�rees {o hold and s��e harmless the C({� <br />of Evere{t from any and all claims for damap�es th={ may arise because oP <br />inst311atlon of {he improvement hereto applted for� and further a�rees +o <br />�e�ve same upon no{ice from the Cj{y ,��d {o replace all public proper{y <br />�a�ged thereby, <br />I�:;iL,: t/ � <br />.� i�' ' T�) _, td- d U <br />� _ u , i ' __._ r v <br />i I 'uti � <br />F__ . ,, <br />--____ �_a <br />I <br />I <br />S�Pned <br />� <br />.%7 <br />��'- , . . . . ���G � . . <br />_ , , . . . , y` ` /:. <br />! <br />..�c. <br />� <br />. �; � � <br />_ . i . cY•�_. . �'.:'. . <br />. . . 1,.. C . . r� ..� . , . <br />_ ��wner <br />fracfor <br />