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At the following location .�L � i' F h� r� �i u i5' U .o <br /> SKETCH <br /> IWork to be donel � <br /> 1 � �Z <br /> � <br /> �"� � � lr� <br /> ---1 <br /> �� 3b�7 I <br /> � 1 <br /> I '-�I ' <br /> ' ',�__� ` <br /> � � _ - <br /> --__ aW —�—.---- <br /> 1'---�_. •.�.� —��_... <br /> -- -- - ': �� — -- --- <br /> - � <br /> . !'r��-- -- __ _.- - <br /> � �� cYQ '� AU�. . <br /> Thc undcrsigned owner hereby agracs tc hold ond savc harrrJr..s thc Cily ci Variance Required <br /> Everell trom any and all daims fur damages Ihat may arisc becavsc ai Ihe Ycs. .. <br /> installation and mainfenance o( Ihe �mn...�ement hcreto applicti (or ond �--- ���- �-���- <br /> further agrees b remove same upon nolicr la:n Ihe City and m replace all NO ---�-�-���-���-�-� �- � <br /> public properly damaged thereby. <br /> QFl.1Y+".N'+Y.��_StCiION � <br /> i /", <br /> (61b-_-�cn�c) //t�Lt /-. �+ , r,- <br /> r./ ,_ , �--f '�_ <br /> � !`6ignalure of Applimnf <br /> }10��. �~ �lw // .� /� <br /> �LU':/�_< < Ll:.<.t.i�' . <br /> ��,i�'�� 7 Ad ets (., <br /> � ,?'r'::: 3 <br /> � s".z — s-� b � (ai'��,. y;,. <br /> Tclephone Number <br /> _..�.._ — ,z,L� 7 / <br /> 7-/9- �� Dnfe <br /> Inspecfor' igna� � ��„r-c<� S �� �� �(ll� �n�7/ �� <br /> —,-- <br /> /_ �a;,. Fex <br /> Dafe <br /> DEPT. APPROVALS <br /> � <br /> Remarks � ' " � " <br /> Engineer �=p f'�i � ��.r+-w• /��-o <br /> � Wafer�� ✓r't:-s..,,-.� -�7/ � <br /> SlreeF��,/1. :� l� /.�,� .�i. <br /> . . . � . <br /> �Ommuni[Olioni� �`'-L' <. <br /> TrafFic�K FRC. ' 7/nl�� � <br /> Planning _ ��� <br /> � f'ROVIpE FOR ��l��. <br /> Call Engineering DepL 15g.g803 � NOTE - , <br /> PROPEF� URAINAGE CHECK WITH Wq7E� <br /> 24 Hours be(ore DEFT. FOR 1vA7ER L!��� <br /> COn5ffU4ttOn i5 S13lted. LOCATIONS BEFOR[ Ex�qVAT10N <br /> ---_-. <br /> _ \ <br /> —c�- <br />