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SKETCH <br />IWork to be donel <br />� <br />The undersigned cHner hereby agrees to hold and :ave :»rmless Ihe City of <br />Everelt from any ard all clnims for damages Iha1 may arisc because of Ihe <br />ivstallalion and maiNenance of ihc improvemenl herefo applicd for ond <br />fvrlher agrees to remove same upon nolice from Ihe City and to replace all <br />public property damaged ihereby. <br />C' , �,. <br />.1,�..4-cJ=< �, <br />7 � / <br />-;�_:/-r, ;., f;���uav �`1Cti�`c� <br />�.��/l (�� �% �I <br />'%� 7�? U � ( . . <br />i <br />^ � O <br />•='�.���%J p�l if'GG-'�� -ni.� v .r <br />� <br />! <� <br />'�� 7 �70 / �?�su-L:-�/ ., <br />�� <br />-.��,_,�,,< <�2 �,,:-��-y,_�:U� <br />,'ij�:%J��J` ..'/Ic� ft.li.: { �, <br />Inspedor's Signalure <br />Cale <br />� <br />� <br />� <br />Variancc Required <br />Yc s _ .......................... <br />No_....._......_...._..... <br />��z,>,��� ,L��� � ��,; -; <br />Signnlure oI ApplicaM <br />7 G C-' ��'/ %[7 ,r�., S r;�; �7 • <br />,� ;_,,,�Lf ��I Address <br />ielephone Number <br />Dcfe <br />5 <br />Fee <br />DEi T. APPROVALS <br />-���` ��� � <br />' Engineer <br />Waler � <br />Slrert '-^� � <br />Gommunimlio �- ` � ' '- <br />Traffic %� <br />Planning �`= �:-! �,-. <br />� <br />