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At fhe folfowing <br />SKETCH <br />IWork to be donel <br />, - <br />-:__ ,_� �_., _.,_ ..__: .. <br />The undersi�ned owner hereby agrees ro hold and save hormless �he City of <br />Evcretf from any and all claims for domages �haf may arise because of the <br />�ns�al(alion and maintenance of Ihe improvement hereto applied iar and <br />furlher agrees lo remove same upon notice from the City and to repince all <br />poblic properfy damaged Ihereby. <br />DRIVEWAY SECTION <br />N�S��, <br />�-3s' � <br />+1" LIP �1 <br />r3O'.i� _�_30"v <br />���' T <br />\\�j _Q <br />Y YQ i /� I <br />1V , <br />/ <br />� <br />� <br />':\��= ,1 <br />9 <br />lnspeclor's Signalure � <br />� � <br />�S'irrs= C,�<, `c:� :�'� � 20-73 �15c Q <br />Daro � <br />Remarks <br />��il Engin^erin� U�; I � '"'.1�� <br />,� �4 HCurs b�fc� c <br />` ,:or�truction is. slar.�d <br />,1 <br />,_ J <br />` NOiE <br />CHECK WITH WATER <br />DEPT. FOR WATER LI(:E <br />LOCATIOtV : BEPpRC �-YCAV'A7IGPI <br />�n <br />SC-H (i� <br />'� �r.�uu� �_ ��'=`� <br />�' Signafure of Applicont �' � <br />C�'`��GCY� <br />,(�'.i ./ - n <br />�� �, i i L`�..., ..�_<�" �J��Q.c�I GLdi <br />Address G <br />�� <br />�5.� - �D2 �.— <br />Tclephone Number <br />.�� . /` _ �% <br />oare �! /G �' �� <br />$ �a �,�.:?r.o <br />r <br />��' ` y y� Fee <br />� �f /l0-7 3 <br />StreM <br />Tf0{{IC _ <br />Planning <br />i_. __- - � - - . . _. . . ----- _ . <br />FRi�'✓ir t iir' <br />PkOPER DRAIivNGE ; <br />�� _� _ _. .-1 <br />`�-i' c <br />•.co � <br />