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�\��jIrI ( ���� <br />_- 1� J� .. <br />�\.� <br />� I � . _ ['.� : <br />� �L��,n�P�`�=,_ ,---- <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Evereft from any and all claims for damages that may arise because of Ihe <br />installafion and maintenance of fhe improvement herelo applied for and <br />further agrees to remove same vpon notice from ihe City and to replace all <br />public property damaged fhereby. <br />�-�� �i./ ��� 6'lz-7Z <br />Inspecfor't Sign re <br />� S'mr /"us7'E'�'"� �2 TL <br />Dafe <br />Variance Required <br />Yes. _ _.......... _..... ..... <br />No.._ ..__....._......... <br />I� ' � <br />i / <br />.. <br />� ,(,� ' � <br />Signafure o Applicanf <br />��� � r.. ; 2151 West <br />� �-� " � Mountiske Txraea, Wnh, <br />PR 8-9859 <br />ielephorre Num6er <br />Call En�ineering DepL ?55�S°C; <br />2� Hours be(ore <br />canstructioo is str�rted. <br />S//�/�'�- <br />--7� n�r. <br />� <br />S -%� �� c�� <br />Fee <br />DEPT. APPROVALS <br />Engin r� � <br />Waler T S�� � y 7�- <br />.--� <br />Streef s � _ ,, �, <br />Communicalions�✓—+— - <br />Tmffic �/C -' '� ���' s' 7 7 z. <br />Planning 2%� S 5-17-7Z—� <br />P�:t_'i _ <br />CH'_i;K 1�VITH !^lA7E(? <br />pEFi'. FOR \`.l�TLiR !_iCJE <br />LOCATIC7f�5 f3EiORf. LXC/�VAiION <br />'%^OVID� FOR <br />;-'i;C: CR DRAINAGE <br />� ��-- <br />--'—�'1 <br />