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The Undersigned ��' �-- ' i : '-'--�_ -- Datc Appro�ed <br /> , . Ck�� \ . . � . <br /> '' �� i 1 ^ �___. ' ' � (' . . • i <br /> Hereby applies for permission lo _ � � <br /> ' �% i '� , f 1 ....� . �_ . <br /> At �he following.location-- — ' ' l- ' "�_ r= r i ! /; �._. i :� ; E ^ � -� , r (" •- <br /> ,� r---) .� � � '.� -- .c� t� ' ��' � l�E' �J� ' � _ <br /> _ l.J �... ._,_ � � ��1(�. �_ '� (� I _ <br /> J <br /> SKETCH <br /> IWorktobcdonel i lrc �.� . . .- --`� ;.+,�:? � <br /> � •: _c:;) <br /> � <br /> �O�V • ` 1 .. ._. . • ;y/ .i L.JJ f <br /> ��-=4�. , ____ - ;,. � -: .._._._. _ _ 1 <br /> i.i P � : <br /> 1-� --- --1--- _ -- - ;��' -__.. . � � <br /> _ _. � . <br /> 1:.'.�- .:�1 :�\ �1�� '�\�. _. .�.,� .. <br /> . . ��+�.�.�I�. �^-' <br /> . _�. __.-. - - <br /> / <br /> _��_.__�..�.�.q- .�.�� ...���.. �.__._ .....�' /� / ` <br /> --- �/�./ r� �/:..' \ I—-- --- <br /> / � � 1 �. . „h�� ����i2 <br /> I � <br /> ;, , �, / � , . C .., . :�;�,rE <br /> / , i <br /> 4, /�._,' __ ;Ii I / �- __.._�..._.,_� <br /> j . <br /> �r. <br /> . .. . .. . �� �� <br /> , � ... ': S� -----. . _.. . . . r"' - � � <br /> M <br /> � <br /> 1 / � <br /> i <br /> '� I / ,�: <br /> _ ���„= _ -,i <br /> . �� -- ; <br /> --, _ <br /> '� ,, _ _ _ _ <br /> - � /� - <br /> Tlie undersigned owner Aereby agrces lo hold and save harmless the Cily o( Variancc Required <br /> [vcrcu Irom any and all daimn lur damopee Iha1 may ariee becaus� o( ihe Ycs <br /> inslalla�ion and maintenance o( Ihe improvemen� hewto applicd io� and No <br /> luriher agrecs to removc same upon nolice Irom the Ciry �nd �o replace all � <br /> pu6lic property damaped thcreby. <br /> � <br /> '/ ,} '/ /'� Signalura;o/ pplicanl- <br /> . �.' �' ♦ V . .. _... <br /> _ ( ' � < .. ''"•., �_j , ` �C <br /> �; ' _ <br /> Addrezs <br /> �w.� <br /> � <br /> Telephone Number <br /> � / � 1 <br /> — � ( ,. ��� <br /> � i <br /> ' � �� ) � Dalo <br /> '� �A�ri>'*–f - � i..�J��.._ i � de+ r <br /> Inopoclor'��. ignoture , S ���_.. 1 �(� L�!'.�!., <br /> Foo <br /> Dale <br /> DEPT. APPROVALS <br /> Romarki <br /> Engincen <br /> Wotcr � � <br /> SVeM <br /> Communicotions_ � <br /> tral(it -- — <br /> _ ri�����a <br /> APPkOVED <br /> ��� ' � <br /> ��_ <br /> CII tHiINCCR <br />