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� <br />� <br />�o <br />—�� � <br />3321 <br />12 <br />13 <br />i4 <br />�S <br />16 <br />The under,igned owner hereby agrees 10 hold and save harmless the City of <br />Evereff from any and all claims for damages that may arise because of the <br />inslallafion and mainfenance of the i.�provement hereto applied for and <br />furfher agrees to remove same upon notice from fhe City and fo replace all <br />public property damaged fhereby. <br />�/����"� � � <br />/ �� N.�B � W <br />�,� ,�, d� d �,, � ��. <br />lti <br />c�w��os�d ow-r �,�y.��— <br />� `�' <br />Inspeclor's Signature <br />SiTc_ � Ni:C�.c�r_"c� 7i�7 �T.Zi <br />�are <br />_,,:-- _ . L__( . _ _ <br />23 <br />22 <br />3320 <br />2/ <br />�— [SRUKEN CC)�ICR�.TC <br />1� � — <br />18 <br />-__ ---- —�_--_ -- <br />__�.�J <br />t? <br />/0-6-�2 sAw ,�-,R. �4Rn/E�r�- TkAPP i�'i�i/ .h'/�� /�FFYtS <br />� �,yQay �ousflFv� �'c�N�Fz�s,�s= /��,v���r �nriJO�L/_F-!_� <br />RemarksW�TH ,8)' TRAPP. fJ/1/J�7-T �(i'U% 5F1T15F���, /=EE�s <br />c.rr� f��s `�ST7}cKF_D DFct��� iil' Fi4c'ci� oF i/I�1PP <br />j(!E T� RPPS I�� F�✓c Ro/� c///,✓l� u•v/ N/5 �� �02 Tio�✓ <br />L� rc' ��Gc_ F //. ,/ <br />Y - ILL�D)LI�L [��� <br />Variance Required <br />1►� <br />�.(% � -5 �Y� <br />ielephone Number <br />� / �l <br />� fe <br />S %�'� F�f <br />Fee <br />��>;� �G�n� : %l`ii <br />Engineers _ <br />Woter (: <br />Streef � <br />Planning <br />_„. <br />