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. . - -- ., nPP.�.r � , � <br /> \ �/— /'� - /�1 � <br /> 1�.C.:��j !'� t 'G Dale Approved � <br /> The Undersigned �_ T , F . <br /> � :1,_''ONS8..5� � � c�-,. �;-v-.- ' <br /> Herebyapplies for permission to -��� ��� `r �. " � ��� � � �" ��`� � — ! <br /> '� � ��� � ���...� .J+a�� J L— <br /> Af the following lomtion - <br /> SKETCH <br /> IWork tobe donel dB' -- ---------------- <br /> � ----1--- <br /> � - Ex 1ST, ! <br /> I U� � SIDEWAIK � <br /> i 40.15 !Jo SGaLC– I <br /> i r L� <br /> I a ��, <br /> a <br /> � m <br /> N <br /> � <br /> L3� � <br /> � -- <br /> � <br /> 13�5 <br /> — _ <br /> - --. _. ... ... _. _ . . . _.----- -.-- -__:-.- .... _.—._ � <br /> _ ... . �_---------�-- �- - - -- - - �� - - �–� <br /> . � � <br /> _ - . � .-��, . • <br /> _\ <br /> I � <br /> —f �—_ ___._ ___. . . ._._ ------�-- —�-- ------� -- .. .-- ' --- _. <br /> — i <br /> The undersigned owner hereby agrees to hold and save hormless Ihe City of Variance P.equired � <br /> Evaelf Irom any and all cloim� lor damoges �hat may arise because ol �he Yes . .._ . <br /> installation ond maintenanc. ol fhe improvement hereto applied for and Np I <br /> (urther agrees lo remove same upon no�ice 6om the Ciiy and la replace all ' <br /> public proper�y damaged Iheieby. I <br /> �� �I <br /> DRIVEWAY SECTION � � ��'� /� � <br /> NO SCALE .=; �� :1.9 ± ' I/I 'r��� ��� <br /> � Signalure a/ i9aP4tan1 <br /> „ -- 23C'1 l�' Pc��� r� <br /> Addreit <br /> 30" _\_ 30" Z �; Z `T � o��� <br /> Telephone Number <br /> -- " � ����/ I — �7 .� <br /> ' f ,� , 1�, �.L� ti�-, . I ✓? - ' oo�. <br /> � <br /> I 11,)�t ` <br /> Inspeclor'i Sianalure �— f �/,��� ��� <br /> S/T��� i[ F��/=^' -7� ��t; ;�� �� ! I(�C. , Fas <br /> Date !f' – �–"��. <br /> D PS. APPRO LS <br /> ' ,�Rsmakt Engineers - �" �— <br /> Waler � <br /> _ Slreel � � <br /> Communicationy.•_..��.�' . ' - <br /> Tmf(ic � r:��1 cz, i2_ /,S:y- ., <br /> Planning a� ./.� . u_ iI�.GC.� � / –/'-7''> <br /> � F"�;;�i''1;�)� I (i:� <br /> Call EnglneerinR DepL 25y.gg�3 • n'nTE i, F tONER DRAftJAGE <br /> 24 Hours before , : ��� yyiTH WATE.fi � <br /> Construcfion is started. rrir, �hniER LINE � I <br /> � ,,, � nCt i":rAVATION �_,____ � <br /> ' .K,, � <br />