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<br /> {hc Undcrsignnd_`'"` '^.'�,�'�. . ' � ._--'�' _-- -- — `_, ontr. Approved
<br /> Hereby applics for pennission to � �.._____ � ' -:�:._•,'���" '
<br /> At the folloa�ing locafion_ ' : t � ...��_._._---_ "�` ----- -..—
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<br /> The undcrsigned owncr hereby agrces to hold and savc liarmless �hc Cily oF Vcrioncc Required
<br /> Everetr from any and all claims for domages Ihat may orise �ecause o( Ihe Yes .
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<br /> inslailalion and maintenoncc of the improvemeN hcroto applied lor and �,o
<br /> (�rlhcr agrees 10 remove samc upon noticc from Ihc Ciry anJ �o �epincc oll � � �
<br /> public property domoc�ed �hereby.
<br /> . -�, Signolure of Applicanf
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<br /> � , , , DEPT. APPROVAL5
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