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Af the following location � �`' � � F` �—� �''j� � �'� ` �' S� ' <br />SKETCH <br />(Work to be done) <br />s' <br />---- � --- �--�— <br />.—.�— — ---_ �-_ <br />—� £DC,fr oS pS:�.1'"'/ __— _ _ <br />_ _ _—��LEMI�.IG <br />�n-�• oj2 5o.S���g� <br />5A 12A GE <br />—w-- -{ <br />-'� ' _ ` <br />�. <br />— — — il� <br />I'�� <br />= :r.:_�: <br />�Illi�'rTi�i�`� AAF_-'=7:-E:7= <br />C o V F_ Y O V:= /� �.<; /J %�J2 <br />.'�z .C� L� f J / N � : /1." = S <br />— —�.,Z"NL E% <br />----- � ..�.� .� ,. - � � <br />'_—�3�.. _ .. '__ -'. __ 'r , ... �_. . <br />.__ _. ...rX�qi;1;�', `i,:. <br />_ __ _ '_ :-(.%F: � 1 <br />— �--�— — '— — — —� <br />The undersigned owner hereby agrees to hold and save harmles: the City of <br />Everelt from any and all claims ior damages Ihaf may arise because of the <br />installation and mainlenance of the improvement hereto applied for and <br />lurther agreet fo remove same upon notice from Ihe Cily and to replace al� <br />public properly damaged fhereby. <br />DRIVEWAY SECTION <br />NO SCA�.E� <br />�.----�.-, s <br />' I" LIP <br />r 30 I �_30°_ � <br />lie,..nl� .✓�'� 2 - %y /�Os.i /Ji'Cl�L <br />Insp��Signafure <br />A._.<., �%,� 9/9/�-f ,�/K, <br />Dafe <br />Call Engineering Dept. 259-580� <br />24 Hours betore <br />construciion is Y"�"�P � <br />i <br />'�.1UT� <br />''�CK WITH WA7ER <br />i'T. `OR 4YATER LI'�E <br />�;cnTin;�s B�:Fo4; :�y^,,:^-rton� <br />Variance Required <br />Yes.............._... _ ._... <br />No._...._.. ......_....... <br />��cq.A��: � �' �L.'✓i� <br />N �' ' =L{. / <br />1 <br />�,�- % :.��c `, �!v -eL'�,� <br />' Signalure oF Applimnf <br />�- <br />z.7,(c � 9s'.5 F" �'i^��-�C�,�u,�t�, <br />Addrest. <br />� 5 �: _ � a � �� ,- � _ .. . <br />`��'-�-'� �/ 7/ <br />Telephone Number <br />Date <br />�i9-/D 3 �✓'`� <br />E ' � p e�yi� JLf�Z-czr <br />Y.+� `s � <br />Fee <br />Engineers <br />Water_ <br />Street _ <br />PROVIilE FOR <br />PROPER DRAINAGE <br />DEPT. APPROVALS <br />� `. <br />�—> <br />��,._.� nrco.�. <br />