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<br /> The Undersigned � - /��' ' '�-� ' �• i' � Da�e Approved
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<br /> liereby applies for pernission fo—_
<br /> A1 the fo!lowing location . =� T `—�-� �-. - . i � /' - - . G�.
<br /> SKET�H
<br /> IWork to be donel
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<br /> The undersigned owner hereby agiees to hold and wve harndess �he Ciq of Variance Required
<br /> Evereli Irom any and all doims for damages Ihal nay arisc because of Ihe Ym _.
<br /> installation and mainlenance ol fhc impravemenl herelo opplied (o� and A���NAL CCN�. f'I�"/1�NT, No
<br /> lurthcr agrecs to remove samc upon noiice from the City and io replace a�l �--LASS �� �WEA.B%N�q Cadesf" '
<br /> public properly damaged �hereby. / Q, �� C_nM.� �Ff'i.y
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