Laserfiche WebLink
� . <br />, ,._ . ,, �,;. _ , - , ��: ._ ,,, ��., . � .-., cz. ��� <br />APPLICAIIUN FOh ___ _5 '�'_ <br />% <br />��� �7 � <br />/ / <br />Date <br />�- � �' .�� <br />ly <br />� ,� 5% ��� y"—�/ <br />Thc undersigned owner hereby agrees to hold and save h�rmless the L'�{y <br />of tverett from any and all claims for damap�es th�{ m�y arise because of <br />ins{allation of the improvemeni hereto appl�ed for� and further agrees to <br />remove s�me upon notice from the City and to replace all public property <br />dnm+scd thc-reby. <br />!1 L Li= y <br />--�� 2•_._�� __ --- � <br />I <br />� y ;s� � <br />I Y� f' 1/i •: r• t t."'`; � <br />. C�'" _ �. l_ <br />� �s� <br />�l� <br />� <br />,� . <br />S�a�l <br />� <br />� <br />� <br />�� <br />� ��. <br />��. <br />Si�ned __ ,� . <br />_=' —� ` <br />i <br />32 <br />i <br />i <br />-�- <br />�� c' <br />�'�.�"r.c_. <br />"� �'' .P . <br />t. <br />�'Ir <br />lz'%r, : <br />. c ir..,_f <br />-- __. __ � <br />! <br />� ��,ne.. <br />--//i�!/�-GC �lliCtiF�c". •�i% ---------Coniracior <br />��uc��-a� �t,�=. ✓ <br />� �' %' ` � � � <br />,�y�/ /� - \��'(�-�I�=�.9!��/'i <br />}_ / i l% <br />l tl <br />0��,�(�.y V , � <br />���-VV <br />