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IWork to be donel <br />� <br />'�D ¢ <br />Thc undersigned ownen c�reby agrecs lo hold and save harm'ess the Cily oF <br />Everelt from any and all claims for damages Ihat may arise because of Ihe <br />installation and maiNenance o( Ihe improvemenl hereto applicd for and <br />further agrees lo remove same upon nolice from the Cily and fo replace all <br />public property damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />—2-3/' -- <br />t I" LIP <br />L 30'„�� �— 30" <br />� <br />(_.G Jbr1l"7� S-.;L- I 5� J4 h,� /I/i ��: <br />Inspecfor's Signature <br />� �i,�- �;ry.�'rY�E/7 %Z ;2/;�5•. <br />Date <br />Remarks <br />d',ali Engineering Dep�. 25:� 8323 <br />24 Hours G?i��re <br />canstructian� �tetl. <br />�, <br />� PH04'IDE. F01� -------- <br />PROPER DRAIIVAGE � <br />I <br />�.��.�.��. __,.,–�._..,.___ I <br />Q!�� VJA�I <br />_..� <br />L <br />:;� <br />� <br />ON� j/I <br />,�� jl�`� i <br />� <br />:RpM � � 'CVRt3�NG- l <br />i-- <br />� <br />� <br />: <br />Variance Required <br />Yes. _ ........................ <br />No... _ _ _..... _............ <br />� <br />�; <br />�+..:,:,; — .,. <br />,�� •;; � � ' "'" ' <br />�? n ( �_ <br />�-.c � <br />`� � <br />� (� � <br />c.ece 1-r3�.'� � <br />Signature o/ Applican! <br />.�7� 7- �.S'��.� %�-� <br />Address <br />.�.5� - �.5 S_� <br />ielephone Number <br />/r�--'" � z � <br />D�fe n <br />5 <br />3/ ===.�''� � %��_� <br />f <br />,/�G�Q �,�� Fee <br />� �a _ z.�_>� <br />" P�iC;�`!'� <br />cHFCK ���riH wnr� �, <br />DEPT. POR V;ATER (_Ii�JF <br />4.CCATIONS E3EF�R" GXrAVATIn' <br />.i <br />� <br />_ �Ko.,�,. <br />� a, <br />