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' _ j ,1,� — /� /�-�- �_k,b�r �.� � �� <br />�, Tfie Undersigned ��--��'7 ��v��� ,'� /G., �/ / / Date Approved <br /> 1 /J _ } ,n <br /> r✓5 r" -� ,F` ` <br /> i Hereby applies for permi:sion to�S�i � " ���� l{C �il�� ��� c.� � �� C.�7 � �/ <br /> I�i At ihe followina locr'ion �..C�� % J�J (/ � /G�C=rt� �/r/,/ Ca--� H i� ,,,,: f <br /> i <br />', � :.F'_ <br />� SKETCH �I�c-,�E'TT � V� <br /> (Work to be done) _ <br /> �, <br /> � <br /> /zo � � � �I�I <br /> _ ` � �I <br /> JZ � <br /> -- � - - - -- �u . - -r�W � � <br /> � <br /> ,' i_rN � - I <br /> i � <br /> 3a " �cc��' � ,' <br /> . 'D w ,� i <br /> ,J j � •V li - ��� ! <br /> G � <br /> � � <br /> � � <br />. . '—. " _ _ _ . .__ . -'_ __—_— _. ., ' '1J� � <br /> _ ."_' '__ .� �� � ` �� ��i <br /> 1_n � Iii <br /> � (- v � <br /> 4- <br /> �2� ' <br /> a I: <br /> -- � <br /> The undersigned cwner hereby agrees lo hoic oad save harmless Ihe City o( - iance Required <br /> Ferett irom any and all claims for damoges ih�t may arise because o( Ihe <br /> Ycs _ ......... <br /> installation and mainlenance of the improvrmenf hercto applied for and -���--�-��-� <br /> further ag�ees to remove same upon notice from thc C:i�y and to ieploce oll No . .. _................. <br /> public proper�y damaged thereby. �,'; r'4 y y Sa v• p/j�g� <br /> ..,� / . <br /> �' (iJ/.A> , '- "•j'' �. .r. �,-r; '�cd«-•�1 /'u,.-�.� <br /> f � � <br /> r� <br /> �, � +�tic-.r 1iJ .,c,� <br /> S ature o! Appliconl <br /> , /3 /� - /3- Mdd. _��.ti. <br /> . ndd�e,5 <br /> s�arri. � � F , o �i <br /> F � -� - �y„ <br /> Telephone Number <br /> .. �o - �`/ - & q <br /> 1 ,� �. <br /> :,"'1�i�t,-.� Dole <br /> 1 __�.-. - ��">,:+-�.��i�4.> <br /> Mspectoi i�.; �gnalure i`� $ 3 9� s L� <br /> ,� / �. y � — , Fe� y J <br /> /� :�. 3 :' � j <br /> Dale <br /> DEPi. APPROVALS <br /> Remarkr <br /> Engineers <br /> Walm U <br /> Streef <br /> Communiwfions 2'' l,1 �i. <br /> iraF{ic - _ , .`J�-` :2.n�.,._l— /0/.t� <br /> _ Planning <br /> ME�Eiz �' > ,_. � <br /> I�CPT. <br />� <br /> : � <br />