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Date <br />{i <br />p APPLICATION for 9��� q ;Lu <br />L-�-fd-l.�F:..l �Qu�•��� ter., <br />The/un rsioed,bwner hereby ag� to,hold and save harmless tfi�'City <br />of Ever tt rom/any and � elg'fms £or damagos that may ariso b ail oiV <br />insta at' n o thVimp�6vement hero �ppiie for, and itirthyy��' agr ee^ to <br />remo e s e uori �dotice from City and tp replace all nubiic property <br />dam ged thereby, <br />`0� Y <br />o-A rO 77 <br />7161 <br />9 <br />Signed *071 / Q <br />Owner <br />, <br />09 J— c'GL �x,`,:i; Cotractor <br />