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SKETCH <br />!::'a;� ;o �c �ar�e; <br />No <br />SCRLE <br />G�T�'! Tp �f'(�IM1! <br />N[=U. G.SS <br />�Mr-_2tcJ��) ; UC7[�jC�+�.T GC� <br />� o p �=c �z T� j <br />\ <br />�`. <br />��t�l iw c .P <br />llt��u�w�� <br />--�_ " _ <br />.: .._.:-_:...... .._�,; � r._...,-m;. � . �...;�.: -.,��.�..;.>:.>\ <br />At�Ptau�c, t-oca•�i oa oE Gcz��NB���_ <br />T'� B� }�o��� C3y -CtlC P�'�'� <br />IYY, h ii';C1�'�_ <br />r _,., <br />� ��� <br />_.I r:Y'� <br />':%, ' i <br />_In�.. :-'�.:�:.'...� �Z+ ��� <br />U �'y � . <br />, .�� � a'Y <br />:�J o-�� ; � <br />?-In,.t�scAPi;a� nr., :-r_c,: i:.�:i, ,qvc-., �ui� ��3� Dc�,vE <br />IN YFIti: �V-"'t��f,lc� ,/�s PHt2r pt TFIE POR't" 1_I�r,IDSGAT�I�G <br />The undersigned owner hereby agreet fo hold and zave harmless the City of <br />Evereff from any and all claims for damages that may arise because of fhe <br />instcllation and maintenancr. of ihe improvement herefo applied Ior and <br />furlher agrees fo remove same upon notice from the Cify and to replace all <br />public property damaged thereby. <br />R <br />DRIVEWAY SECTION <br />NO SCALE <br />� �� �� <br />�I" LIP —� <br />�30,`� _ 30�� <br />Signafure <br />sir� cuFe�c�p �-1-7¢ <br />Dafe <br />Remarks <br />Gail :.ngincering Dept. 25;i�8813 <br />24 Nours hefore <br />�.i�r�sfrur,tian is""st�rted. <br />I <br />c,..��: <br />14 Ct' i .—.. <br />rHECK WITH �'JAifR <br />Gf_PT. FOR'rVATER LINE <br />LOCATIONS BEFORE EX�AVATION <br />m <br />T <br />� i7%.`��T�1r' � l �/<- <br />i_�0 <br />)_ c::. <1 � lb�ri-f1l'TEk <br />pLG.Gi�.__ I <br />NoT _ <br />His D'=i�EwA� Is <br />A�przo?<, /OO�Not�.TN <br />O'�" � �-F �VE,�2C-TT <br />Variance Required <br />Yes_......_.....,_ ..._... <br />No.......... ✓ ............. <br />[� �3w:� <br />G ' 1�/ <br />G .LU� � Ls'x(,L � <br />ignafure of Applicanf fe ��-'/�'- <br />��/..� o— N� �. jc a GK <br />Address � ��L� �<� <br />,�a. - d - � ! 2 J <br />Telephone Number <br />� .�,�/ <br />%1% Q,h % �i.6 % <br />Dafe ` <br />S � -Jr �` �i�% <br />�?E� ' D �'1 t� "—�-- Fee �cr� 3/7I7 9 <br />�_zy-�� <br />� <br />Water <br />Streef . <br />0 <br />DEPi. APPROVALS <br />Planning _ .�/-. <br />�� �L:� F��1�= � <br />I : : .;�ER DRAI�'dr'�G�: <br />� ��I <br />�1,,,,,,,,_.,�...�.,�..,.e=a.�.:,�+ ---' - <br />z� <br />�ti <br />��-.�n'-��� n�co..�. <br />