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or�, fu ,c none �' ----� . . . _ . _-' i G;•. <br /> ! 22� -�=i � i <br /> ------ �,- „ <br /> ---� �:'�._ _ : _ -- _ -= I- � `1_-= ' <br /> \ �_Z Y, _— �� W . <br /> \ `� � i I " <br /> � 7 (,v , _ i <br /> � z� p $ ealc- <br /> �o ;i �-, <br /> �`� �i✓ST, / 7 ' G NC. �'�.' ';� �C i <br /> � •'J • b �, ' � \ <br /> � <br /> . 2� z,s29 s: 0 <br /> J 5� L <br /> �\ <br /> O <br /> , 3 E TN .�T �� E!4��c"-i.M.�� ��� Gc>. � � <br /> ,r �Sr G. c I <br /> �� � ! � ' �� <br /> �� <br /> /� <br /> The undersigned ownen c�reby agrecs to hold and save harmless the Cily oF Variancc Required <br /> Everett from any and all daims for damages that moy arisc becausc of the Yes. _. _....._............. <br /> inslollation and mainlenance of the improvement herelo applied for and Na <br /> _......._............ <br /> iurther agrees to remove some upon notice from the Ciry and lo replace all <br /> public property damaged thcreby. <br /> —'---�-- � ,� , ��. <br /> �6ht.lv'�:�•,> , t,�rc'!'f.,N .' .�' i'�✓t'�G.-.i`____. <br /> (r�i 0 "�'`�"��� � ;%"� � �Signalure ol f1p limnf �_ <br /> 3 S�� y,�.,P�:..�,../j / <br /> � ..���... �U � �.(!..ovS/.�CJ,..a,�� Lf/f.t•+f <br /> � �o� Address �f <br /> ��� � .� 5s -ys- 3 3 <br /> ��_ >�� ielephone Number <br /> �[�/ �-2�� / � _ /=? T o, <br /> —� / Date <br /> � <br /> Inspecfor's Signalure LNLs-C���� g• U • Jra <br /> � , /� .t <br /> �/ � � � . �.� ,iG .� <br /> `7����v ti�- r . Fee <br /> S��T� �>4C,�i'S�J 'Q�22�7v :;�, i , -, � ��_,,, r � LC.��' <br /> t,; �;C�(,- / <br /> Dafe <br /> DEPi. AP?ROVALS <br /> �j�j ��� <br /> Remarks Enc�incers:��^4Q..G�/L.G"G. <br /> �� �� ���.c'.�. " <br /> Walcr �-<' ,^ <br /> $Irecl <br /> Commvnicalions �� �-L-'� <br /> Traffic <br /> Planning <br /> ScW=i� N cya;t <br /> , <br />