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_ ✓ 1 <br /> � �.. % <br /> - - � . <br /> cv�.re; ` '.':.ashins�'cri <br /> :: :ic! �_ : � . . ., . <br /> ___ ---- � � C i t�- tnr i n._�_.. <br /> � - , Everelt� '�;ash��li�_. 'on <br /> ;� i'�i�,-�UC� � C�JC���-; � �IV�r_::AY <br /> P�rmission is r���e�+�e�; �� _on=' r�r�_ 6- in..i� � . C. <br /> c�ncrste driveciey as shov+n on sl<�t�h. ;,orl� 'c C,e <br /> done undFr the supervision of the Engineerin� <br /> � --� �� Department. <br /> l I _ <br /> The undersi�ned owner hereby �srees to holc -nn ; <br /> harmless the City of Ever=t+. from any and all claim- <br /> for �amages �hat may arise because of the installz{ :�n <br /> and maintenance of the improvement hereto applied ic� <br /> and further agrees to remove same upon notice from <br /> the City and to replace all puL] i� pro��r',y �;m,f,ei <br /> -_ _ _I I thereby. <br /> �' I5in�_ -1��. <br /> � � <br /> IPRor�esEp <br /> � �I'� -- CGVCR�TE D�\✓ <br /> — i 4, <br /> �.'i . . . - ......_-___._,.r! .-�:(��::i <br /> K �N�,��oou D�-.. <br /> / , ' ' /Sll-,c.✓crrlr.-zN �',!• <br /> -; <br /> APPRQV�,� � :. " _....__ .. . ., <br /> �2�L..�V, � ' _ <br /> � ,�� /�-;i: . i�°�_, C:�': <br /> ,� i`, ! _, . ::: . . <br /> ,_ /'�� � NAMF�� G'l��Sr:: ' .. <br /> � ;:� .Lv�!�'� ADDRESS��,�--�-•=- ..: <br /> '7� � - ''�! -��J'_ (,��. <br /> , ,-� {; � - - � <br /> , <br /> / / _: _ , . : . . . _ . . <br /> � <br />