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<br /> At the following location l % � � " '�" �`-" `"' "' ' " . — �
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<br /> SKETCH
<br /> IWork to be donel �xlsr• c,�b����
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<br /> The undersigned owner hereby agrees to hold and save harmless the Cily of Variance Required
<br /> Everclt from any and all ciaims for damages thal may arise because of the Yes._........_....._........
<br /> inslallotion and maintenance of Ihe improvement herelo opplied for and No............................
<br /> furlher agrees to remove same upon notice irom the City and to replace all
<br /> public property damaged thereby.
<br /> DRIVEWAY SECTION n�I�1. ����•n��/�,/�,r, ,1!�r✓
<br /> NO SCALE� � :; �� j Signalure of Applimnt
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<br /> ��� LIP � � 7a � r,�� .... �c�,.� �vR�i
<br /> Addre� �
<br /> 30" .4.3—� � r •r, _ -7 � P 3
<br /> ielephone Number
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<br /> 2 �ara y—/�3
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<br /> Inspecfor's Signafure � ✓ � �_��'� y, $ �/� '�'��/� ��`
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<br /> ,��r� C.���FL� <t//�3 � /��_'v ��_��-.
<br /> Dafe �j��, — 7�j
<br /> DEPi. APPROV LS
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<br /> Remarkt Enginee - � 3
<br /> Waler u' / ^�
<br /> �� .Ut. r\.�•�t ,�_
<br /> h° Stteet � _
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<br /> Communications
<br /> Traffic-y �'
<br /> Plannir��.'.. ? CL n-�J ¢—��-73
<br /> ���I.R ` �'�a 'E �'� E'�t� vi���� � � ; -
<br /> ii3�l �f�EIOC@tlft:? ��'�.:�ii. . CHFCK WITH Vll+T�i� ��'itl! i:�1 L� ��\Il�;r�.��:.�
<br /> 24 H�,ur� i,r-iore DEPT. FOR WATER L.li�i�
<br /> t:onstruction !i S�arted. LOCATIONS QEFGRE EY.CAVATI�N �
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