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�; <br />0 <br />Date i :- _� <br />APPLICATIOM for %j��(i /� ��-.� — <br />_' <br />,,� `� <br /><_, � . _. � <br />The �dersigned owner hereby agrees to hold and sa•!e harmless the C1ty <br />of Lwerett from a:�y and all claim° for damages that �n�y arise becnuse cf in� <br />sta3,lation of the improvement hereto applied for� and further aE�rees to <br />remove same upon notice i�om the City and to renlace all public property dram- <br />aged thereby. <br />. <br />�i/' �r; '. �.1 �- r=. <br />� (�--,��.c. � . <br />�i..j,,�.. -C, _ _ . <br />, <br />�y�° <br />,�, . <br />, <br />, •� <br />�...,..�._._�.....,.,I''—r` �,� .� ;: T'� • -------- — --- — , <br />� .'�- G• ' � � � , , � � } � �� u,.°.._ <br />x �: <br />i ..� . ._.��t!,�L4 � :{.{. ! <br />�igned ! - . .. :,i....�...1 _ __�Owner <br />�� K z, �� �� o, \ ,__. . __...- .. "' ....:.... ., <br />.7 � ..� <br />, <br />clz. �,�,�;,.; ( �,C'`_� , . <br />''` �, ��� ' `�i�� � , <br />y <br />. _ . .. , <br />_ , <br />, _ <br />Contractor <br />� z. � <br />..� ��� . <br />ferspe:ie:.. ��r:�:�':�.�i.,z,-�::�:: <br />e: <br />