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EVERETT, '�NASH. Approved Ay <br /> 1 �/ v)ry�. <br /> 'J._i_T=�l%/�/-.f,/C.7 �i /L � <br /> Thc Undersi3ned � � '-`� � ����r L� _ Da�e Approved � <br /> Hereby applics for permission to Co ,c,/,�';- �Q � �S f? l�,�'/!/L`� <br /> Ar the following Iocolion��" ��=' '�-'/ i�=/Jc�F_ <br /> SKETCH <br /> IWork to be donel <br /> (�^ <br /> VJ Zi 2Z� <br /> l(� 1 S <br /> � 19 Zo ��--� / <br /> i <br /> � �� ' <br /> �� ' �'- 40 <br /> � � � . ,�� ��. <br /> � z ��� �� <br /> � <br /> V � L � <br /> _ - �� �°� P <br /> , -- � <br /> 45P DR� VE. <br /> _<- � <br /> ��C�s <br /> .O�'��E <br /> >���— `` -- <br /> The undersigned owncr hereby ngrees lo hold and save ho�^+less �he Cily o( Variance Required <br /> CvereN irom any and all daim� Mr dnmagef thal moy mise because of !!-,,: Yes <br /> instollalion and mninienonce o� iha improvement herclo applied G.r and No . <br /> iurthcr agreei to remove +ame upun noliee from �he City and to rep�ace all � <br /> public properiy domaged thereby. ���� � <br /> -__.." i'"� � / <br /> ^ .i)H�vEwqY .5'tCTION --' I� � % � I <br /> �NO� SCALC� r--,.�.`� , / /��- �.:�`�/ ;'%�. .�'�_C ' / <br /> � .URIVE\JAY. . S4CTlCiJ ..-. . — Signalure ol Appliranl � <br /> ,,_ • ,, � h� . - -_.__-,'I� '.,� - .9v - Nvf 9 <br /> ! / � v <br /> -. ' .. . . S6� � -- � �� . . _. . _...I n i� ` � Ad rass <br /> -... - - <br /> _ -- <br /> �i ._ . . Lii_• , . _.. _ <br /> __ _ "' <br /> I-- . .... .. _ , ... \J �. 1 ' / <br /> + � I ��jr.� ...... ------ - j �.�i�..� 7- �n C`t�� `� <br /> _ � I - ielephone Number <br /> I <br /> � ` '--�/_ ;i✓ <br /> � -__._._....�._ __- _---_._'_—__.�''Jn S�en.ltl Dafe <br /> Inspedor'z Siynafu�e ' NOTE _ s "���� �-C�O,jQ _ <br /> ri,ecK witf� warFF FQa <br /> _ Sir� ' �vr ;�,r�� _?�'�/� . ��i ��r. roR wnrFR �i-�r <br /> Dale <br /> � �r:qllr�,r.��; 13rf�RL ExCn6�n�-i, ,; <br /> D[PT. APPROVALS <br /> Rema�ki [nginccrs �G%"��.�/'—r y�':1%�� <br /> Waler �i�� -- <br /> Street y <br /> ( r� �!�'i • f J. <br /> CommunicaYons <br /> Tmffic -- <br /> Plannin� l � <br /> �' II'�f _ _'_-ln-'-. - <br /> � , . i.l', li�; �'.il �1�,�.�� <br /> . � <br /> � <br />