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5028 EVERGREEN WAY 2016-01-01 MF Import
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5028 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
2/9/2017 6:50:48 PM
Creation date
2/9/2017 6:50:36 PM
Metadata
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
5028
Imported From Microfiche
Yes
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i� �I��.'��=� <br /> _ - -- -- ---- - _ - - -- <br /> --- <br /> SKETCH <br /> IWork lo be donel �� — <br /> EyiST';it/G- PJGt�E2 F,'' �,. ,_,,- <br /> � �N_�_:� == v='L=-',=/,': �� �", <br /> _,R <br /> �� //2. G-/,�<,T.��� -'r:,,r. "..� . _. _� <br /> � Q4 _.. � ;:'�- , ^� ' '�. <br /> ' —corvcRFrc <br /> ��'- � � � cu�e ��� <br /> � <br /> �o23'�sa. L LANDSC!'PE v <br /> . s��r.�r,-�i- � AREf�S <br /> �. Fi sf/ <br /> � <br /> '1 �, _ , \ �I <br /> 9 I <br /> ^ ��� CATCN rA5/r. ' �� , - - .., <br /> EY/ST <br /> i. O <br /> , 1�� <br /> � <br /> �v ._. <br /> • �� <br /> _� <br /> -- � <br /> The undcrsigned owncr hereby ogwes Io hold and save harmless Ihe Gity of Variance Required <br /> Evercll (rom any and all :laims for damages Ihat may arise because of the <br /> Yes._................__..... <br /> installalion and maintenancc of IF.e improvemenf hereto applicd for and <br /> further �grees to remove same upon nolice from Ihe City and to replace all � No.._...............__..... <br /> public properly damaged Ihereby. . l�� � <br /> 3:��,� , <br /> ----� '� � � ��� <br /> QRI�L'id,�Y.. S6CT?rii•J.._ 1 DR]v���nY...:_=5�0'.�LON - <br /> ' (;�;tr.-_-�c.�t.C) �i SA�r Es�cJfn,� <br /> ��-- � Signalure of Applicanf <br /> I , .__� � y�• <br /> , �- V <br /> �:�o -- -- �^' -- � � . �, �J Z'7 J - �? :1 � - � <br /> � �� ��N.7� � �h.p ;o-• Address <br /> �-!------�- I•: l <br /> �r � iI � _`'. � '." y �� , 2 2G 'f <br /> ---i-� Tc';ohone Numbe� <br /> (�I�=--�cia��. . • <br /> - �-21.- 7n <br /> Dafe <br /> o�t � <br /> Inspecfor's Signalurc . 5 .���.=O---- D. <br /> Fee <br /> s>i= G"�!.£e,e.iv ��6/�'0 <br /> Date , <br /> DEPT. APPROVALS <br /> Remarks tngincer � ���� ��4 <br /> . Woler l � c<.ac. 7-i>� 7a <br /> Sift�l ✓� G/G+lc�-Y <br /> Comnwnications 7� ������ � �-: •%�r. �.. l;.,%- <br /> � / � <br /> Tmffit ���-� <br /> _ Planning <br /> fV�O� .° <br /> �9<L �iVG/itJc.c�'J�1/G �.�PT. <br /> -Z-���'-�'f303 ,24 .S�ovrzs Q���G <br /> CO�..��v�,ip�1 i.S' �q.�r�� <br />
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