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i <br /> i <br />'i SKETCH <br />; IWork to be donel <br /> i <br />� 3l <br /> 3Z <br /> \.�_� � <br /> FO�j��� _�_�' So u � <br /> �V�r i <br /> � <br /> � � <br /> / <br /> I� 3�� <br /> t <br /> EX !a 7"/N�'a F.�7Y�NIE��T NEW DR f�1�LVA y /�1r7 SC���' <br /> Thc undersigned owner hereby agrees to hold and save harmless the Cily of Variance Required <br /> Everetl from any and all claims for damages Ihol may arise because of the Yes <br /> ..._............__ ...... <br /> installation and maintenance of Ihe imorovement hereto applied for and <br /> further agrees to remove same upon nn;ice from the City and to replace oll No.___.__._._.._...... <br /> public properly damaged Ihcreby. <br /> DRIVEWAY SECTION ������� ������� <br /> NO SCALE - <br /> � z5�� -Sign�ure of Applicanf <br /> I" LI P ' ;:?,i : /�Uo�(� / cY.�-�L'--� Al�,r /� . <br /> ,��� ; add�e:: 9Pi» <br /> I 30,�) z� �� 30 ' �/ / •-� ��G��b <br /> . <br /> Telephone Number <br /> G 9'�.�LG � L� ,�- - o�� � � � Dafe v /.'.:u�- . <br /> ///��� fo-y- 7� <br /> Inspecfor's Signafure y�'A// ,,� 5 C 2 � _ ,� <br /> �,//. ��- <br /> 7 q-��—�L , Fee <br /> ;.'rii �i-�Fr'Kri �(/V�� /'�/ ��'��7� <br /> Dale <br /> DEPi. APPROVAL <br /> �. i- <br /> �'/ ,_�L <br /> Remarkz Enginears"�'� �� �-� � <br /> < , _ �.i ;I!, <br /> Water '� - ��-� <br /> ��.r �L... i i <br /> :�Streel= � i:r,._�-�v . <br /> Communicalions � " ' ��'� � <br /> Traific C',;� � � �` "�` ' - <br /> Planning��.'���; �—!� -72� � <br /> � PROVIDE FUft I <br /> ;. , �, ;;..�r�;,:,-, i�epi. . �{� � �'y�JT� ��. PkOPER DRAtNAGE I <br /> 24 Haurs before CHECK Y;ITFI WATER � � �i <br /> � ,-g'r riinp i" 5l�?r-^'r. DEPT. FOR WATER LINE <br /> , LCCATONS BEFORE EXCAVATIL�N � ! � <br /> � AKO..�. <br /> � <br />