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. =j .S C �— <br /> 5 ` _ <br /> Date ti �_jY (�� <br /> ArPLICdTI014 for -<'T,a�5,� .�i� / ,� _ <br /> � � �� <br /> -';� ''y .s;K��_ � �;��Ki; �� <br /> Tha undersigned oi�mer hereby agrees to hold and save harm].ess �fie-City <br /> of nverPtt from an,y and all clai,ms for damages that muy ariso becauso-of�' <br /> installation o£ the improvement hereto Applied for� and flirtheT agrees-�Eo <br /> remove same upon notice from the City 8nd to replace all public property <br /> dar�aged therebg, <br /> %� <br /> �'�< < � -� ��,cti.l- � .l r lG <br /> _ � . _ �. _. "i LGc'�i�i�l' Cn".5:.',� �9i �:.r4.�-� �'�_ c r : 4E ii- <br /> `/�-_. "n_. —I /. <br /> � 5-7- �j <br /> d <br /> I <br /> -- ---i i' <br /> � �_ I <br /> �� I <br /> \ <br /> I , <br /> i� <br /> � <br /> � <br /> i " <br /> � <br /> i <br /> � _ L . _ <br /> Signed � =_ � <br /> Opmer <br /> I <br /> !��'EYc�(' .S:e,�'� L .Fu :�� cs... i'/i. .-"C'.� Ci,r.�' . . <br /> �_ �ontractor <br /> -. ,- - _//' � i � <br /> � �j � '�.--��., �� �.c << ., � ' / ' � <br /> �-�.!. . :� a �`�,2-c,te_G� '��,/ ,7l G _ � <br /> i'--� ' �U <br /> (,� �i� � <br /> �iir . � 7 <br /> ;� ..c' ✓7Y��� -�� i � <br />