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�. <br /> _ . - .,.�.�-_- �=� � l_. . . __. .,____ _ . .=t. �� <br /> , - ,� <br /> c,J ;` ds� co c. .o�iv� z` � <br /> r �O 6� <br /> ___�____��.,�. m iS''i^_'CK W -NWATER <br /> ���=PT. F . 2 l7ATER 1 I E <br /> ' �c1-2 'O�,i '� ' � '_CC,i?1 ni Bt:i�OR CAVAT10h1 <br /> n�2 <br /> 2-- <br /> i ".-- 4'0� <br /> �q.I <br /> � <br /> IQ-6- � Q.� � <br /> _— <br /> � <br /> The undersigned owner hereby agrces to hold and savc harmless Ihe Cily of Variantc Required <br /> Evcrelt frim any and all claims for damages that may arise betause of Ihc Ye,_ ..._......_.._........ <br /> installation and mainlenance of Ihe improvemenl hereto applied (or and �.- No._.. ........._.._...... <br /> further agrces lo remove samc upon notice from Ihc City and to replacc all "'� <br /> public property damaged thereby. � �j <br /> Signalure ol Applicanl <br /> ndd��:t <br /> Te�ephonc Number <br /> _. .' � �_ ' __ / DaM <br /> ��,�.�_`• c � ��z�.j�c.__, <br /> �Inspecfor's-5ignalure � g <br /> �/'/Y -- Fee <br /> Date � <br /> DEPT. APPROVALS �) <br /> Remarks Enginccrs� ����^'� �` "`"'�'"� — <br /> Water�' '��"/ .�, <br /> Slreet <br /> Commvnications '� ` � '� ' ��� �` ' <br /> . - .� . . <br /> Traffic <br /> Planning <br /> � <br /> �f.. 1. <br />