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IWork to be dnnel <br /> �D,��S7- 1//� �/' �,�- <br /> I ��Sp GONC. ,. � . ,_ . <br /> �,�'� - l.@ <br /> - ---- --- �./•1-_ _ <br /> � ---- ---- <br /> . _._ ..._ .___ . <br /> eo . -: - - - <br /> .�� <br /> J <br /> t� <br /> =a�• ,, 28 2� I 2�.� <br /> ; � � � <br /> J • � <br /> � <br /> I � `� 1�-`� I 47 <br /> The undersigned owner hereby agrees to hold and save harmless the City of Variance Rcquired <br /> Evcrett from any and all daims for damages Ihal may arisc because of the Ycs...__._.................. <br /> installation and maintenance of thc improvemenl hcrelo applicd for and No..__...__............. <br /> further agrces to remove same upon notice from thc City and to reploce all <br /> public propery domaged thereby. ��� <br /> `r� <br /> Signalure of Applicant <br /> Address <br /> Telephone Number <br /> � � • Dale <br /> /1_.-�.. .� ; ��=ri.1�-fL�-'>-� <br /> ,-g 5 <br /> Inspector� ignalure � <br /> �/�G�� Fee <br /> D e <br /> DEPT. APPROVALS <br /> �l � . <br /> Remarks Enc�ineerj-=�'' <br /> Water� �� <br /> Street -- : ' " � <br /> Communications �` �`�`�""'�"`�" �"`�"�v�'y��� <br /> Tmlfic , <br /> Planning <br /> i �, � <br /> . <br /> _, <br />