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APPi,ICATICN for
<br />Date � � r� •"`�
<br />The mdersigned otianer hereby agrees tc hcld and save harm.Less the City
<br />o� �rprett from any and all claims Sor damages that may arise because oF in�
<br />ata3,].at9on c_ the improvement hereto applie3 £or� anc'.further xgrees to
<br />remove �amo ��pon notice �om the City* and to replace all public property dam-
<br />�ged the:•eb;�, i
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<br />� � % �EWT & CHUCKS RICHFIELD
<br />�/ �-�-� 2�01 +Vorton AL 2-7550
<br />� `Jir Euerett, Washington
<br />' .l��%.'S O�vner
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