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ILL <br />ILL <br />� 7 <br />S TAT S <br />Sc. LE 40' <br />r hereby agrees to hold and save harmle.;s the City of <br />all claims for damages that may arise beLause of the <br />enance of the improvement hereto applied for and <br />,ve some upon notice from the City and to replan: all <br />led thereby. <br />. '.Y. - Sr CTlCPv.. -..... <br />' O :..S-b *.Ic. <br />N3 <br />FIRWOOD <br />(Ed�T.��"SCFiLE ) <br />t <br />i <br />3554 <br />PL <br />Q c} <br />4� <br />Variance Required <br />Yes_...__............ <br />No_........._ _....__.. <br />Signature of Applicant <br />Address <br />tag i'-i <br />Telephone Number <br />:! / <br />Date 100170 <br />Fee <br />DEPT. APPROVALS <br />Enginee%%� —11�7() <br />Water <br />Street r•...... <br />Communications •, �'''r'j'yy•t'•�, f''"`"��".•rr.., <br />Traffic <br />Planning — <br />NOTE I - IiOVIDE FOR <br />Dept. 259-8803 CHECH NVITH •WATER DRAINIACE <br />before :_7. POR WATER LINE <br />8 started. GSFORG EXCAVATIOTS <br />