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Date ! z.,% z/5�l <br /> APPLICATION Tor /�' "� ���'���'� <br /> Tha mdereigned ovner hereby agreea to hold and save harroless the City <br /> of L+berett fran ar�Y and all claime far damages that me�q ariee because of in� <br /> etatlation of the impro*emant hereto applied for� and flu�ther agreee to <br /> remove sa�e n�oa aotice tYon the City and to replace all puhlic propert,q dam- <br /> aged therebpi. <br /> � 1�-� -- -i <br /> ____ _ 1, <br /> s��1$oAK p <br /> _ ---- <br /> sSll �JS y �VL I TU {� 1- <br /> s� �� UC f- �) 'rS o <br /> � �1' <br /> A �' � � i � c, �r � �_ � r- r! r N ' <br /> 3vo � I <br /> IS <br /> I_.— <br /> .C--� 7 , ---Y <br /> b•K.�.�1• �\�• ^ ���.�b, �ouP.wo <br /> � <br /> J CeQ�` 2 `i��,�S � <br /> � x. �� � ---; <br /> 7 ��` <br /> o �( .�T E<^e �.�_,��(�C t.u'r�e�, l/�//r�.Grr. <br /> .1�) I�, `�� ,;•�.' <br /> � <br /> I �� C+� •'� <br /> �IEN TD .��- WIN(— � . . <br /> I F �V C C.c ��•` %� +- � <br /> ` � I �. <br /> � � . � t C G _. _ J_ _I <br /> .l.�n 1'1U W.� ?:� '( }� I nJ V L�' SY_ivI� ��J '7,. <br /> � �t3� a ►�,� t y , ' <br /> Signed ' � Owner <br /> ,.� �; �, d��� <br /> Contractor , <br /> � , �� �� � ( �� _. . <br /> :��!�,�i. :.=v.d �.,.l.-�•-. . _ / f�r � i '.�✓".�_��c:.�:-�-__ <br /> �::.-�"--' _G��t--''/, ��.c �u <br /> 7"Jm.� <br />