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-- � <br /> =�il <br /> nat� ;'i/. ;. <br /> i r��..�� ,` <br /> APnLICATI013 for . � ' <br /> � I — <br /> Tlio undersigned owner hereb grees to hold` and snve harmless tfie'Citq <br /> of Sverxtt fron on,y and all c v�s for damages t ,at mn,q arise becauso of- <br /> installatiott of the impro ent hereto applied f r, �nd flirthei agroes-�o <br /> remove seme upon noti�om the City and to rap ce all public property <br /> damaged theretry, <br /> �- AV-tU / � C�„�-u<'�— /, a 0 <br /> y'c"4��'^� �3 �� R E Q UI I.fl �t IJCLL�cC�'—�`1 S ���n �j. 0 �, <br /> (f /�. <br /> / �. <br /> , �'�EE ESrrmhrr <br /> ' � <br /> � INSURANC6 CLAiMS �-- � — -- 2 S� -- � <br /> K-- ' �I �' � <br /> � � � <br /> ��� � I <br /> �G,;,�'� 3 0 3 7 <br /> � i��l 3�b.� <br /> l <br /> / p / <br /> I �i � <br /> -L <br /> ..���:BilOf1 Jif1�f0YP,p���� c <br /> � <br /> ' � / ----- +It�p7i�... � - . _. ---- -- ... <br /> t� ���j' , <br /> �"/� <br /> �� � T <br /> � � ti <br /> � ,�1���� .�,��� � �. �.� <br /> Signed ..vcre.tL : �>.` �, :�iiil�:! .��m Jae. Owner ��� <br /> / . ��0. �' `�F� <br /> ; ? <br /> � ' <br /> �- ., ,,,._ r��,�_r , - i�r�—��� ,C����ct-�— contract` <br /> /�,K��.A�•W�a—� �. . <br /> � <br /> nk.��d,..:. � �' � � � <br /> � � <br /> �...,. ////// ��'} �/'/� <br /> ��� �� /`+""�.t-C.��--� _c.. i¢.��L(..1���'�l,��/ �� '�. <br /> �� ', ? ' <br /> ., � ,r �,-� >� � '%n, =r� <br /> , < � , i r. <br /> � �� � �l_ - ' � �, �, <br /> Ok',�%�t� <:: , 4t �� .���� �� <br /> , w. <br />