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2110 BROADWAY 2016-01-01 MF Import
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2110 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 12:27:23 AM
Creation date
1/24/2017 12:26:42 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
2110
Imported From Microfiche
Yes
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:iU11�4IT I;VIDI•;NCL 1'IL1T I:QUIP�:GN'� � �J <br /> GOMPLI�S 14�1T7I Tlils' S'1'ANDAKllS O1�' / � � 7 <br /> T1IL UNllIilt\V1t1TL:125' LA130RATOlt�. <br /> I\SPECTION O'r SIGN RL•'QUIREll �/�' <br /> Ii�FORE �RLGTION. <br /> CALL 259-87�5 FOlt INSPECTIOi�1. <br /> llatc <br /> APYLIGATIO..' FOI2 - � <br /> J// <br /> . 7'hc undersigned owuen c�reby agrees to hold and save harmless the City <br /> of liverett from any and all claims for damages that may arise because of <br /> installation of the improverr�ent hcrcto applicd for, and further agrees to <br /> remove sarrx upon notice Srom Lhe City an o replace a1.1 puUlic property <br /> dama�ed thereby. `y�� <br /> �vr[✓�K5 VALUI:: � <br /> { <br /> � . _ � IRCUITS: (� <br /> f {,,_ xx a �� `3 • <br /> 2 3 <br /> � �-1 Kc.N <br /> MHS� <br /> �_.� .3 i r-.4GS lG <br /> � ,eooF db'AMS <br /> � � � ,'' '�„/ ��X 3 i LA{Bc�T <br /> , --i, � � I �� �E40 S.yyFc05 S ----- <br /> ,� %'� �'� B�iic'f ti.''4CC �--- <br /> �' 1� <br /> I <br /> 6 ;� r��y�ul�� <br /> . ' � <br /> � I f/ <br /> � ' <br /> � <br /> !, / <br /> 0 <br /> `��--` - <br /> - -_ _�`_l�Y� /� <br /> /� /��� ti�� —1 �W:,�r <br /> . Signed �-�'�-1��„�-�2�E' ( �-�'7" <br /> �•9---�f ' <br /> �_ <br /> Contractor <br /> e-��/evi��u-w«� /-,...yy, . . .. .._�,_' — - �---- <br /> ��eay ,, d1l�%.�,.,e-c <br /> � ���9 Z� - <br /> � -�P � 3� '' �' � `'" "�- <br /> g.,�,�A�r-� G- � /�°-.� C:.i.[i(.�_•�ic� . <br /> j� i1�1 � � I�I ��( � . <br />
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