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�0 77 <br /> �i�9�� <br /> Date �/ - 3 — L� G <br /> a �� (Q-��-� <br /> APF'I.ICA'fIOft for ��Cf )od/ O� �� t ��� S1 a iV �u> ,IA�,o c t Q���.�.+/a/L6/p <br /> ��ee a roc k o F �yd Av�. . <br /> clir-Ka s ' <br /> The undersigned owner hereby agrees to hold and save haimless tfie Cit,y <br /> o£ Evereit from anS� and all claims £or damages tnat ma,y arise because of� <br /> in„tallation of the improvement hereto applied for, and Rirther agr�es �o <br /> remove sc+me upon natice from tho ritY an<1 to repinee all In�blie property <br /> ctamaged tharebq. <br /> .��o�Dd I/u� �'� o f S'iJ/�, S iy ar is NoN - F/ash,'ivs -U,�.. �PProv�d. <br /> � <br /> � .�. !j /1 �y !! .-� Y�5'FiN '�raqJC 'FOY <br /> l•��w��� — (/o�Pxzec.o�- �"-z�, S S N <br /> � i •� <br /> 6� <br /> S � WOaf ' <br /> � �� t a �� � `� <br /> � C � j- � Q r o r� ci. r �}- � <br /> i, <br /> ' y, <br /> � � <br /> , <br /> � .. <br /> � J <br /> � q <br /> � <br /> , � k � � <br /> � � � <br /> n�� ` • <br /> � ft ' ' '�r;�- <br /> o �.-av�+r7 d St���� f —' <br /> O lt /!F S • <br /> ,/ ; ,����f�.v <br /> ,,�/v'�' `� � �� <br /> Si�ned r:� �^ � 0�•mer <br /> ✓ <br /> � ' Contractor <br /> <3 3 i .�.�.�� � �. �`r�� 1 <br /> l�'1/ /�) � �%//6�'J� `. � �.�.. ,� -, �� I c�pC= IV p � �C C I 1 � � <br /> / 4 ` / � ` ' �efJ 9�— --��'� <br /> ���� � �C�a ��Iu.��- -� C� ; ,� �;� �t � � � � � <br /> ��F� /\ � �/��{///_ <br /> a.r/� S�� C��. V�QIK4�� V1 � ���/��hT-[i�l� �"� CT� /N'�-i <br />