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At the followina location <br />The undersigned owner hereby agrecs to fiold and save harmless ihe City o( <br />Everelt from any and all claims for damages Ihal may arise because of Ihc <br />installation and mainfenance of the improvemenf herelo applied ior and <br />furiher agrees to remove same upon nolice from the Cily and to replace all <br />public property damaged ihereby. <br />DRIVEWAY SECTION <br />N SCALE <br />�— 27 ' <br />1-29� � <br />+I" LIP <br />�,� 30'��� _I_ 30"J <br />T �l <br />��,���-�3 ����,,�.G>r <br />Inspeclor i Signalure � <br />.� � i <br />.. . ' <br />�; <br />� � ��;,� 1., <br />� I! Ln"�i' : i,:,: <br />2;1 I�our bclore <br />r�nslruction is started. <br />.k /;�i:.i i�L�r• ._i ��;r�� . . - <br />— c � : (.�.uF�C ci/C� . <br />; ��fo-r� <br />CI-IECK NlITH VlATFR <br />p�l'�. f�r:�> ;'I��I�Et LIiJ[ <br />I r;� ;?��;.��;5 �i'I'O�E EXCl�VATIOfa <br />, <br />`/ariance Required <br />Yes............................ <br />No..... _... _... _........... <br />� �? �,�I 3('_....� o ' <br />CtJ./ �,.r... � �-fiJ ^�;iw-e�-�.- <br />�r� y��'(S�nafure�l A,p1plicant <br />/a�GG�/ ��?---��r6�F. �E <br />� ,�MilP.�'v`ii "r.". ✓ ✓7 '��COdLL <br />Address <br />�Sa� 332,� <br />Telephone Number <br />�/ v%o� -�I i �� 7 �i <br />�—Dafe 'i �^ �—�3 <br />a 2� ��-. ��_t� ='�, <br />�h.rG�D lY� �C., Fee <br />-�-�i-�3 <br />:� <br />_ _ _ _.___ � <br />PI:Ui�Eli G'i�AIiJAGE <br />I <br />I----- _ <br />_ l <br />nrco ..g�. <br />� �:� <br />