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� <br />. SICIi PCliD1IT AI'PLICATIOti <br />SIfUD.`IT LVIDL'tiCL 1'11�1'C CQUIPtfENT <br />C014PLTIiS IJITiI 'PIIG STAPlDARI`S UF <br />A17 APPkO�'GD TESTIM1G I.AUOPJ+1�lRY <br />I1�SPF.CTION OF SIGN REqUIRED <br />DEPOitE GRF,CLION. <br />CI.LL 259-8745 POR INSPCCTION. <br />, <br />. APPLICATIO:a DATE MAr-f Zq7 Iq'1�1 _ <br />AAURESS � � I �\/�_�LG2EEI.L �\%a-H - - — <br />Thc undcrsi�ned owner•Lereby agrees Lo nold and savc harmless the <br />City of C�•ereCt from any and all clains for da:na�;es L•hat may arise <br />because of in.l•allation of the improvement l�creto applied for, and <br />further agrees to removc same upon notice frcm the City to and to re- <br />place ull puUlic property Lamaged thereUy. <br />\�ALUB: ��,G�o . or� <br />CIRCUITS: ( � <br />F�C: / ` c� � _ <br />ELECfRIG1L: <br />TOTAL FE6S: <br />�� v� � � E-x.� sr� tiL G � ' �C '7.0 � <br />�-�lCrs�. ��t tr[-�.- �-G n X 20� D�� <br />o�.� �x � S'r-: S TfLCJ �-i U 2� ��C- <br />C A-C. �3 62 T".�O �L'�) . <br />, J . vZ7 <br />iy. � <br />• ' 1 <br />�r K" ti'' \ l.�A�'� — <br />��� / <br />SIGNED Lif . �J . �� O�dNER � <br />corrrr,ncror. -fU � E - A-2i- ' D(5 P[_A-YS � � , � � ' �-'o. - SG'L - Z. 8 S'i-� <br />S.ICENSE N0. 2(o O/0 3 ' <br />