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Date ��/9 �% � <br /> ---�— <br /> APPLICATION for � '7� � 7K�=ti� , <br /> � . � , <br /> �• _ . <br /> � ,' ��,�,y�� � <br /> r.... _ __7 �.�� ,.� �c.��.� G�t...f .�u.I--; <br /> v <br /> The undersigned owner hereby agrees to hold and save harmless the City of <br /> Lberett fr any and all claims for damages that may arise because of installation <br /> of the impro ent hereto applied for, and flu�ther agrees to remove same upon <br /> notice from the ty and to replace all public property damaged thereby. <br /> ��vi� <br /> �Z/ Y� <br /> � a _� <br /> �,y�''�� =- <br /> ti�-°"° S� _ <br /> � _ __--_� <br /> - - _ /D__P" --- 6� <br /> � 1•,�19 +,\9��. <br /> �p� • . �;���C <br /> � <br /> 9;0,� y`v . � <br /> r,�,,p <br /> Q � <br /> �\� \ ���� J' . <br /> �,.o`c' --- ----- — - � 1��-d�.� � c�`�C'� <br /> - --------__ __ _--- ------- ----- ------ � <br /> C�i.��l�,l.�e�-[�C-n� �-�'-�/�-c�-c, C�"� . <br /> � /�_i� � 1,yn.�.�.5 ,`�1.�1 L �.L�e71�' I C <br /> Signed �`j • � �'y e-`-'� <br /> \I ,��..P_a,�� ) ��C.tL�.✓--- Contractor <br /> � � ��\ ', � . <br /> �,K.�•�1 .\���.,, -��� �-����.,,..� / � <br /> ~ ��/ <br /> c k. �,� ��;.,.,` <br /> / ����� <br /> c�Ic .�� / � . . �ocaiion Approvea.�....:..-_ <br /> si�C,l.e=.� ' � — ? , ' " ' <br /> /,LNi�� c r�ciry�,vcyJ <br /> � insoected...,��� <br />