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� , <br />� <br />� <br /> I� <br /> _SIGN PL•[tTIIT APPLICATI027 <br /> SUBNZT EVIDCtiCE.' THAT EQUIPPtEh'T <br /> , CO:SPLIES UITI: T1iG STANDARDS OF ' <br /> AN APPFOVF.D TESTIP;G L•1BOR�TOFY <br /> 1 INSPF.CfION OF SIGN REQUIRED • <br /> BEFORE fiFECTION. ' <br /> • CALL 2.59-8745 FOR INSPEC'LION. <br /> APPLICATION DATE �'�� / V <br />' ADARfiSS I�� � ������ � . <br /> � ' The undersigned owner'hereby agrees to hold and save harmless [he <br /> City of E�•ere[C from any and all clains for damages that may arisc <br /> � because of installation of the improvement hereto applied for, and <br /> . . . further agrces to removc same upon notice from the CLtv to and to re- <br /> place all puUlic proper[y dama�ed thereby. <br /> . � �= <br /> VALu�: �� O'O — <br /> CbRCUITS: <br /> Q� <br /> FEE: � �v <br /> . � <br /> . . ELECTRICAL: �� �� <br /> ' 0� <br /> TOTAL FEES: � � � <br />, ;� ` � � L. ST/�� S(C�<'`1� (ZG�►to V�. <br /> 1�--�'°F�.� �� <br /> ' '�0 s'r� G N G 11"�{ 1�N-o P W�T`'` . �� 1r G►+�wl w�� <br /> _ .C�TY Nld ST�- I� �'T-� � F=4� i4'Ir/t�-ff-w� <br /> ��w� • . <br /> . � � � � � <br /> � � � ' �`�-�- ����1���. <br /> . � ; ; , ,, � <br /> , <br /> ," ,�_ c . <br /> ._— = >_ . <br /> �% L"�I iC �"v,=-f', OWNER-__ <br /> • SIGNtiD��! . ° . <br /> CONLItACTOF �!M�I.GD J� V/hI ��0�i ' <br /> • LicensL t�o. �G �-7 Za3 ' ' <br /> � � • � i� ,� � . <br /> 1 l-�= /'� f�i 2� ,__ ��;S„_ , ,�,,�_.J <br /> / <br />