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`�'a.2�sG ���w �2�.�E <br /> . `•�L �_ <br /> � 1 O / _ <br /> ao" ��� io' <br /> CJRQ� CJrt �'71�I <br /> C�lo dG��.E � .�, <br /> f.7 <br /> e-1 <br /> � <br /> � S3 <br /> The undersigned owner hereby agrees to hold and save harmless the City of Variance Required <br /> Everetf from any and a�l claims for damages fhal may arise because of the Yes............................ <br /> installation and maintenance of Ihe improvemenl herefo applied for and No..._....._......_._..... <br /> furfher agrees to remove same upon notice from the Cily and lo replace all <br /> public property damaged thereby. <br /> �% :,"' � <br /> � j O . ;� Signalure oF Applicanf <br /> / � �Z`��� 'y.':`.k,,.. <br /> �� � ,C��,t���-�' ,� � ,• ,. <br /> / � Address <br /> 2 y� �/ C�. <br /> � . <br /> 7elephone Numher <br /> i Dafe <br /> i <br /> � ,�� c._� � ��� /c E <br /> ylnspecfor��ignature � <br /> � <br /> Fee <br /> Date <br /> DEPT. APPROVALS <br /> Remarks Engineers <br /> Waler m� • <br /> Street <br /> Comm-n'-- -- <br /> Traffic <br /> Planning <br /> APPROVED <br /> v �� <br /> � <br /> CITY INFER � <br /> �1 <br />