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�"` <br />� <br />�f `� ` / `i <br />Date ��' %-,. � , / '%. / � (r •:� <br />� <br />P^f'�ICATIUN FOk 3 7/ 3/i ���iUv �� D% �"Y �'�`''� <br />u� . � - , �(/� . �J .�� , J <br />L_ji..i.a..(��..y.�j �r�,4G..'rc�.-v-LIZGG� pc�.l'C.'AtN,t!�i�'Ptw..-Q� �SsCtGai.un.r-Q/L�.GC�ea..l�����j7 <br />r <br />The undersigned owner hereby cv�ees to hold anb' save harmless the Ci{y <br />uf [v�rett From eny and all claims �or damap�es th4t may arise because of <br />in,f;llxtion of {he improvement hereto applled for� and further a�;r�es to <br />rertn�ve same �pon notice from the City and to replace all public property <br />dam�ged ihereby. <br />�E_LJ <br />� <br />7oG `=° - � =.° <br />J �� <br />-' � is Vv — I <br />S i pne�1 <br />/( <br />�`�h.t,v._:� � (_ C�,ri. r_;•_.<11 <br />� <br />4 � ;,�iJ,.: �.+- t� • <br />7' <br />� � � ` �� �Gif��/ �� <br />� .:I:v )I��` � <br />_ �-�.��; I <br />, ., ,� -, �� <br />�� � ; <br />�, <br />U,vner <br />rac{or <br />� , . <br />S- c� .� •/' , c -c a�. .—,_ <br />