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The Undersigned � � � = ••.i� : � J ; . - � - - � ;+ . �; Darc Approved __ <br /> Hereby applies for permission to r' OA1 ST. A 3S�� D�Gtl <br /> At the following lomfion_ _2 3 Z �- L?':�o N D [�� A �/ <br /> SKETCH <br /> (Work to be donel <br /> r r� o,� ��,��= Y �,F- <br /> ; <br /> `,v <br /> ' � <br /> ------ -- . --- _--- <br /> -- -- -- � <br /> .. _- h�`J e . ` c � � <br /> f• - o — — - - <br /> pc��EtL <br /> �,�r1E5 <br /> �t'� <br /> Q �—T I <br /> � N � o r I � <br /> a0��V` N N "' `- 0 t � <br /> I "=Q-0' ���Sf �L� R N <br /> S ( <br /> [ `D ,J �cT -- R.� <br /> ��NE ����p r��G <br /> � rtP <br />_ N������ � <br /> --- - --- ----- --�--- � <br /> The underzigned owner hereby agiees Io hold ond save harmless the City o( Yariance Required , <br /> Evercu from any ond all daims for domages that may arise because of the Ycs . <br /> ins�allution ond maintenance o( the improvement herelo applied for and � No. .. <br /> furlher agrees ro remove same upon nnlice from the Ci�y and fo reploce all /� � �, ���------`����������' <br /> public properly domaged thereby. �� CQ�C " �' � <br /> ��QRIYE.WAY . . �'.;c•��rar�' _._��_ . �.��f S '�//a,C.. M���� 5� Y <br /> �NA-:.-SCACL j �. . LF_�ui,,, <br /> C��� /� _ ,���i►i-r, ',� �,,.,r=�r <br /> C�Q�� Signalure ol Applicanl <br /> F�0 f.�_r-�.a ,n �� ,y /1 . <br />� �_.._._...��_. .._,.,_ ._�! �� l II� � � ri �� r ��r-.�-r.�. <br /> +.''�-�A�� _ ..� add�e,� <br /> �,— � <br /> . — 30 _..J r .2��. � S � - ;';,` '7 <br /> � Telephone`Num6er <br /> k <br /> _ _..._ ..__�._-----._.__._� 3 — � z__ 7 Zr <br /> Date <br /> Inspecfor's Signalvre $ � 7 'S�� �� �- 22- 7� <br /> �J : .� i <br /> �`'/i t Cf�f-'L'.«� '���/7Z .... .s • Fee <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Engineers <br /> Woler o�.'� T, 3 -Z 3- 7 `L. <br /> Strcet — <br /> .� CommonicQ�� . , � -. . ,. � .�.'� ;,i,}.. <br /> � Traffic � �- zz� -� --,t. . ,- . <br /> Planni�g T� � z - � z--. <br /> _ . ...... ... . ..__.._.__.... � y� � <br /> �� i i� ..it_ �Vi� 'P� iC.." l� i- �%C`i'!" ��C�i�lo�f a . i e. , . _ � , <br />' Ca�l fn•ic� g p ,. . : �:. <br /> � Fi�Of-Eti Di2P�li.^�GE � 'erin Ce t. 253-u803 ,CHCrI: c:ITH b.A7ER <br /> � 24 Hours before DGPT. fOR WAT�R LI?;t: <br /> cotutruction is starfed. LoCAriorvs DEr� �, F,.;.� ,;� <br /> -_.,.�. <br />