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IWork to be denel_ --_--- -- ----- -� � ,, <br /> �' � <br /> �� I .�-_—� ` I <br /> -----.. _ ., I �•."°,, I I �0 r I <br /> I � '� <br /> � <br /> -J------ -- ---- -- - - <br /> _- - <br /> ; � �,, i <br /> _ __ � � <br /> , _ , �� w�-� � � <br /> :�.✓C- -`--�1 �, , <br /> yi ''— ---- —• -- J—r <br /> -�, 2 �;j , I <br /> _ --- � N <br /> _— --- ----- — I <br /> -- — _ ._Y I <br /> � — — <br /> ��7 /50! � <br /> _ �' � <br /> �� <br /> . I � <br /> � <br /> The undersigned owner hereby ac�rees to hold and save harmless the City oF Variance Required <br /> Everell from any and all claims for damages thof moy arise because of the Yes....................._..... <br /> inslallalion and maintenance of the improvemenf hereto applied (or and No_. <br /> ........._...____.... <br /> further agrees to remove same upon notice from ihe City and to replace all <br /> public property damaged thereby. <br /> ,� �//!1. C��C�,CC,L �. 11 Mttl..,.✓ <br /> /, �� Signafure of Applicanf <br /> � �� / � <br /> � �� � ' f La.lfd'�� e ✓G.�1.CZ <br /> '�� �� add�et� <br /> � <br /> �,� � CC�. Z o � � �I- <br /> � <br /> ; Telephone Number <br /> 3:��:, .�=3 - �z <br /> Date <br /> Inzpecfor't Signafure $ /1i��� �� �- <br /> S/TE C�•i�ECi�'� `���7.2. Fee <br /> Dafe <br /> DEPT. APPRO LS <br /> Remarks Engineer . ✓�2�`��/r2 <br /> Waler Y!L i r �- <br /> Slreet '-- � �- <br /> Communicqt�ions�,� �"""s <br /> TraHic �/( �`'��/..� �• S - � -7 t <br /> Planning , � n- '''`3`� <br /> `--,, , �.�—'f:;-,,� �;I <br /> ' ��"��'E Pi�vi'EiZ DRAIf�IAG� I <br /> (;:,�I Li�;inceii,r Dep't. i�'yY:'�0-� C�-'�"CY, WITH 1t'.qTER . � <br /> ?4 HOUfs befofC Cc,YT. FOR N�ATER IINE � <br /> r.onst n is Started. 1c ^'.rI'!r.S ^uEf�rRE: [xrqV�TION _�_ -- <br /> _ _�_.-.� <br /> —c <br />