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p1' - <br />:., i <br />� SIGN PGRMIT APPLICATION • <br />SUBMIT. EVIDENCE TAAT EQUIPftENT <br />COiR'LIES F1ITli T}iE STANDARD5 Ot� <br />AN APPROVED TIsSTIhG i.ABOEtATORY <br />INSPECTI0;1 OP SIGN REQUIRED <br />BEFORE ERECfION. <br />CALL 259-8745 FOR ZNSPECTION. <br />APPLICATION DE.TE � ' ' '�� <br />�; C) c / r , � _ , �_. _ ��. . -�i-: tJ-'<T- <br />ADDRESS �' `� ' ' <br />The undersigne8 a.oner hereby ngrees to hold and save harmless the <br />City of F.vcrete from any ��nd all ciaims for dama�es Chae may arise <br />because of installation of thc improvement hereto applied for, and <br />further agrees to remove same upon notice from the City to.nnd to re- <br />place all publ.ic p�operty dnmaged thereby. <br />VALUG: ? i.:: ' ._ <br />CZRCUITS: <br />a� , <br />• FEE: � % <br />� • ,.r � <br />ELECTRICAL: .4� " <br />, <br />TOTAL FGES: '> ^ -----. _ <br />. c: � <br />I jl.C^ I .l!_�_��. . . <br />. _ 1.� J � .. y yi / �i ' /: . . . . � � . �/, i <br />; � . .2� : / i- , <br />�. �'- .(�-,�. "> I �,- "" ' �.: i : r _' � . - � I s <br />I �.. �4[-cJ� , r„^✓ _ /� _. :i"�L� S�:•.i,� <br />� � ..��zn � � �,l /�_� _ � 1-.,,+ � )/ZoriL� . ,��c.. <br />l �u � . .rr . � -- '� ' �� "5 � r,: <br />,^__ ,J ' \\J.l�-'.�i. �- .� L-�. aE ^"�3�. .� � �- �!_ I� I� I ; f. �� ' . <br />•- - Y� _ ' ' ; .� . : il '' � <br />��, t`�, . do�T - . ..,. _. �, 'i ' �' �� - — <br />. <br />- I `` ---' � I II � .- `! .�.._:. ,. _ <br />_ . � . ...�� �� : <br />� � � ._._ <': - . <br />_ � I _ � � .-T . <br />. y ' <br />' P7 <br />y, • i- __- - <br />� '- -� ,,,� <br />�`` .l—�_ � <br />i _ ! <br />� 1 <br />- - " . <br />- � , <br />_. <br />• _ —" �_ !J Tn <br />' t� " � l `' r ------ <br />�'= - <br />- -- <br />f��-_ . �i �'n�.. <br />_- - _ � <br />, ... � ��_, _ z�_, � sis•: . <br />� � • ----- '- ---�- ' _. _ -- ----- _ '• _ _ _ _ . <br />, ,' , <br />> ^�i=i:.' .., !_-.I_ .._ " Cn..' ° �'� � r,`l�. <br />/ � /_ .i j� ' ' . <br />� <br />SIGNED ��/! i�� OWNER � � <br />. ' � ' ' ' <br />CONfRACfOR ;-i'="',l�,c.' ' � • Ir').-, _. , ,.-'�,��'C.; <br />O <br />.:-:.. �/, � . r���� c��� <br />LICENSE N0. �' n <br />/C�'�,;�ir �'� `�` � �t". ��'IZ�I�� . <br />