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APPLICATION for <br />Azv-� l <br />The ,utderg <br />of Everett ffa6m <br />„au, M� e yrjpvem f-ber apMed ibr <br />r e e u notice from a Ci y and to repia <br />damaged thereby. 14 / / <br />J31ejc� _ �a�oo 3 ,o <br />ND <br />"I <br />�I 'I <br />ti <br />v <br />I � <br />of � <br />-- <br />0 <br />A .Pj .1 V. Ili 'L'—l_T I i.. � .. <br />l J-",Y1 � J � U <br />nn `� V ..tr <br />Ck. b� er v, �, L <br />67} 5 <br />Date c.h <br />nd save haimles`e tfie-CIty <br />t 9 arise betayse"of` <br />�a d:furthgt agrees to <br />cc afl public property <br />G/-rY <br />/}o►AloR <br />S 1; a't V i G V <br />L. tT <br />Owner <br />Contractor <br />