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<br /> The Undersigned � - �'=i; Da1e Approved
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<br /> Hereby applies for permis;ion to -- ' �� — '� � ' ',
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<br /> Thc undersigned owner he�eby agrees Io hold ard save harmless Ihe City of Variance Requirr.d
<br /> Everetl (rom any and all claims for damage.s th�it may arise 6ecause o( the Yes . . . _.... .....
<br /> installafion and mainlenance of the improvemr.nl hereto applied for and '� No � �� ' -.
<br /> furlher agrees to removc samc upon notice (rorr thc City and to repla:c all �� � ���� � ��
<br /> public property damaged Ihereby. '�= `
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