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' <br /> ' �i . _j <br /> , . . . ,_., u��. ,�. .. ,uL <br /> — � <br />�f <br /> L�------____.__.....------ <br /> ' P1�TE .� <br />� • � ��� � �, <br /> CFI[CK VJITH ����TER ,�., <br /> D'cPT. FOR 1' ;� . C;. I.IPdE �� , <br /> LOCA�IOPlS E..'r',b;� ELr:AV,1ilON ^; <br /> t���� <br /> , / <br /> a � ."� ,_> <br /> r:� <br /> -------'.__�-------- <br /> � 20 ' <br /> ,q s PN.4 L T. Co„�C. • <br /> FG� r' E -� f Y�L� G-, , _ . • . . � _. ' <br /> I , . . <br /> II� „ � , � <br /> _.-- ------- ---------- <br /> \ <br /> Thc undcrsigned ownen c��eby ac�recs lo hold and savc harmless Ihe Cily of Variancc Required <br />, Evcretl irom ony and all tlaims for damages thal may arise because of the Yes..._ _..._. <br /> .._....... <br /> installation and maintenance o( Ihc improvement hcreto applicd for and <br /> further agrees to remove same upon nolice from the City und to reploce all NO--���'��� ������������-�-��� <br /> p iblic property damaged thereby. <br /> �•� <br /> -�� <br />' $ignafure of Applicanf <br /> Address <br /> Telephone Num6er <br /> r -�.' .- ,� j^ Date <br /> .,7�,1 .,L.r�--`,. ",� G.L.t.L,i <br /> �Inspecfori SigAolure �� § <br /> / <br /> ��5��� � � Fee <br /> Dale � <br /> DEPi. APPROVALS <br /> � I <br />, Remarks Enginee�--�`n%'�Iw<<< � -'i It'� tt � �! �i ' _ ' �l , <br /> i <br /> Waler <br /> Slmet v <br /> Communications .�'�'''' --).(;� �:! - <br /> Tra(fic l . . <br /> Planning <br /> i <br />� <br /> I <br />� --1 <br />