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�� <br />��O fJ —� / � � <br />/ �_ /`'`' <br />r � <br />� �, <br />Date / % : o (o,�' 1 � '� <br />! <br />-� ���� ��� <br />APPLICATIUN fUk 3�1 1.i It+-�--e�-C� <br />.�w;Co1[.�j .�..L'<.'.,�.,.ti�."_a�' , ' ,,..� � ' � p . � <br />� <br />The undersigned owner hereby aqrees to hold and save h�rmless the City <br />of Everett from any and all clairs Por dama�es that may ariae because of <br />installation of the improvement '=.reto appl�ed for� and further agrees to <br />remove same �pon notice from the City and to replacE all public property <br />darrN�ed thereby. <br />- /�00=� /�~V <br />Signed _ <br />w�..CieR� /i�-C.�� <br />i <br />,.'\"` ,y�C� ���,t.� ,. <br />h <br />� � <br />/ <br />�L'I.> Gl-I��.'t_! !� �. ('u <br />1 <br />�� <br />V � <br />. <br />✓ ^ ' �. <br />O�//� � / / <br />:i. L�li�-.-ti1 <br />�]�%l'/� ' l. �/�.'� <br />�`+/�/fsC���L lJ.w f^-�^ i..,C�-P' �...��,,._ <br />�T_..� <br />, , <br />Uwner <br />��CtOf <br />