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to be donel <br />�_ fo � <br />' f: <br />S�.�Pc:i�n�' I <br />i <br />`�21U <br />���4� �`,iR .''�4�e <br />��-` �s' <br />; �r+, 5•�F� <br />t- <br />��� Ni�'�,-' <br />S). '. Y <br />, <br />TYP'- ,— ='��:- <br />'rYFr G -}Ur.S <br />N.��� <br />c�r_e, <br />Nr-,,� PA��i: ir�c:. i-=�' �� �B��!! <br />/,c��iR � <br />--' 'E X 1 <br />The undersigned owner hereby agrees to hold and save harmless fhz Cify of <br />Everefl from ony and all claims ior damages thaf may arise because of the <br />inslalic�ion and maintenance of Ihe improvement hereto applied for and <br />fvrther agrees to remove same upon nolice irom the City and fo replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE� <br />-- - 2-� <br />- 3' <br />il" LIP <br />��� ���� q-�i- �� <br />�spector's Signafure <br />_i�� ch��%�� �����/�3 �T�, <br />oo�e <br />GJi2�3 <br />�ept. 259�88Q3 * $'{'�fE <br />4aU En��neerinP, CFt`�� �.vITH WATER <br />24 Hours be(ore .. �. <br />� FT r ;; � �T R IINfi_ <br />construdion is st3rted. , _ <br />�� , lTl� °; i ; c. �� ':" ��/�.��f9��� <br />` <br />riew <br />� �-� V � <br />� �1`r% rlDr_wALIL� �/2-- <br />�� ;'.���a' � � r;6-^ U/�.. <br />�J . W�Th! GuKSC-� <br />I��aG*.� o? / <br />'� ' �AU'T � Y <br />.� ��i;l � I � <br />�,,�;�' , � . r <br />c�::. j� i � <br />, � <br />r u� � � Q-0 _..�,. <br />���. � ? <br />,�I � �. <br />'' _ i � �:i <br />��k � ::� � '� <br />_ �� � � <br />/ /: � <br />� � a5 DJli; � <br />/� � <br />/' � � ,. �cis7, M�H. (�J <br />I � I � <br />i �� / " � <br />— — I <br />..tyP:: c �. <br /><<,�:�;� �y„c.t. <br />� � -I u,.a r�2 <br />��-AN D S�A?'C� <br />Variance Required <br />Yes............................ <br />No... _ _........ _ _......... <br />� �/� i."�..��-t� et' , � �i�-.,..�'t/ <br />Signature of Applicant <br />�sa i iv T--�,q��-, S e <br />Address <br />355- /�3� <br />7elephone Number <br />No <br />�c-q CF' <br />`` ; ;.•. y _��/ � 9>'3 <br />Dafe �_ 3�_�3 <br />�,g•o � <br />p, s �.s � �.� ��-- <br />��t ( i' l) � Pa 1-�`�'�`� <br />�i � I.;"i� �j �L� Fee 7� 3 171�. � �1 <br />�-sr-�3 <br />DEPT. APPROVALS <br />! �%.�-L ��iw- � <br />Wa1er <br />J( Stree1. <br />�PP.OVID� FOt� <br />Pf20�'ER DRA;IiAi�r <br />I� � <br />�,�..�s-_ _ _. _ <br />�� J AKO�. <br />