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<br />APPLICkTI011 for
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<br />7 �lZ` — �
<br />Date �–/�� n.,5
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<br />The �dersi�ed owaer here�agrees io hold a�id �ave harmless City •
<br />of Eberett i'rom any and all clai�r�s for damages that may arise�'�usa of in�
<br />sta3,lation of the improvement hereto applied for� and Turther agrees to
<br />remove same Upon notice fYom the City and ta replsc j� T�ublic property Idam�
<br />aged thereby, j
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