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' 1 <br />, �����-- <br />- �;. <br />APYLICATION for <br />�/N�` <br />�s� � <br />Date z- �� 6 3 <br />o�Q�(.Q��,d--,-�J �R:C.t�*-++t-ti+�t-2-�-c.�c1 l� B c�-tl' `'`— ".`�" <br />The nuiersig�ed ou�er hereby agi�eos tc hold d save ha.^mless the City= � <br />of F.berett Tro:n a-�y and all claims for damages tt�t may arise because oS/�n- <br />stailation of the improvement hereto applied fur, and £urther sg:•eeSito <br />remove satce upon notice fron tne City and tu rept�.ce all publi per;y dam� <br />aged therebyo ab <br />�P� fx <br />Signed <br />. <br />3'0' <br />. <br />� <br />M�n S , c „ <br />V. _ <br />__ ISr',�s_" _ --_ <br />� <br />,'..,: � t.� �a a t czr <br />.� -�---�-r-- / ?� ' <br />n• K .1� .VJ��..A---r , �,-c..�� y ..t..e..., (�,,. �., �� <br />ti:.'t�l�tyiqiealal+q ,�� ,� :�.<,i : �:,� •.�...,, /� � <br />OK�•�<'4.{!�,�.sY"'^KCS ��f' : GCJ/�il�� Cl iiLl i� fnd.'f., 1��OV��������" <br />V i_ocr,tion .y�r r ,.. <br />, �� . I:,. .:s.. F i Ga ! . <.:r _.'..-�., <br />� ' �5 � � � te�i:�...t,�.� � �1. <br />�\. , nt' '}�fUf��c �1 .�' �1��U:.i, .� <br />