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�- . . . ' � ., `. '_ " �i <br /> ' ._._ <br /> l <br /> 1 <br /> _/ __.� _.�ii./V�--i= '�'ti �/�,�'—_— � � <br /> L1` ` �. D,'V�' '✓` .;F 1 <br /> �� � � - .., <br /> � ��{ <br /> � 2 73 0 � i � <br /> i<� `� �' �� ` I i <br /> �� <br /> I <br /> I I5 � � � <br /> 1�7 <br /> _. �,:- -- _ <br /> — Variancc Required <br /> Thc undcrsigned owncr hereby agrces Io hold and savc harmless thc Cily of Ycs ... ..__. .._..__.... <br /> Evcrett from any ond all claims (or damages that may arisc b l ed 5 fo�f and No . . ._ _._._.. <br /> inslallation and mainlenonce of ihe improvemenl hcrefo app� <br /> fmlhcr agrecs to removc same upon nolice from the Cily and Io replatc all <br /> public properly damaged ihcreby. <br /> � f ; ��j ��'�`� � ��l 'i;'��%'�71-i �. <br /> � NOTE: Check �aith V�ater Departrnen� , � , Signclure oF App6mnl <br /> for �.vater line locations (''l�_ � � '� � � �9 , <br /> before construction ,� ,,' . %<< <br /> � �"I '� Address <br /> ielephone Numbcr <br /> �^ <br /> ,..t Dalc <br /> C:: <br /> ��,.�.— • � ' '� . .�-%ti< ,�^ S <br /> Inspecloci Signafure ' <br /> Fce <br /> . <br /> '�/,� `' /�'-i <br /> Dale ' <br /> DEPT. APPROVALS <br /> Er< tecrs <br /> Rema�ks � Wuter �f"" ��'"� — — <br /> Slreet -" � � <br /> i r� : ./:.r�i��r <br /> Communitalions�—==-- <br /> Traffic <br /> Planning <br />