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SKETCH _.�--- <br /> IWork to be donel <br /> ---�—�— <br /> �� � � p, �� �'� � A iJ � �.,_ Y�, <br /> �—__.._ � 3T.a3 X � <br /> �'—�— I x� ^ <br /> I � � X �� � <br /> � x � <br /> I � X � <br /> 6 <br /> pUT F�On �LI ;/ I 6"9x\x x � \. <br /> G', PF.��Fi:T'f 4 � I �j � \ <br /> ��� �q° �.�.��::� OH G1Ty � �� <br /> PR�poSED i.- � \ \� <br /> ,y <br /> m <br /> �\ <br /> 49z8 \ <br /> � <br /> 2 3 2 � ��' <br /> ? 5 <br /> The undersigned owner hereby agrees to hold and save ormless ihe i.ily of Variance Required <br /> Everelt from any ond all claims for damages that may rise because oF the Yes..... <br /> installation and mainlenance of the improvement heret applied for and -��-�-��-�-����-����� <br /> further agrees b remove same upon notice from the Cit and lo replace all No_............_..._....... <br /> public property damaged thereby. <br /> + I 63.0 <br /> �l1OT�e 1/1� fhE 6Vc,��l {�deCiTy /✓io�u.s _____.___ � <br /> GR 3.�?fa//J AuY 'fYPc Of U�iLiTys .i_ . � . I . <br /> i� W,�R G � �. . !:'.r,i. �„ ; �,t,���✓ <br /> (ie t�{e r�sPoN5i81t!'ry � � C ' C � Signalure of hcant <br /> GF The L L A,NE c ' �p � <br /> PrryE2Ty c�uNE2 +o MoVt3 <br /> RNp R[PLAG� ofc /��GOCATE ��� 0 �� r �� ,�y, �t.,�°� <br /> THe ,�E � 2.�caa �� <br /> �veE �9 r .yrs E-XPE-„ir� ---_..___ add,e:� . ' <br /> . 4' `'' ��l a ��C �' <br /> a c. .t. — <br /> Telephone Number <br /> J- /4-7/ <br /> Dafe <br /> Inzpecfor's Signature S � I D � <br /> JJ V <br /> Fee <br /> �s�T.�- �,��c,��r� 9,4/L <br /> Dafe <br /> DEPi APPR � Al <br /> Remarks Engincer� `� �� � <br /> Waler ��. - .c1,+��. :�,_. .l- .•`� � i <br /> Streef � f^�-�`��• , /.'-f,<<;.� , c <br /> Communicalions -'7-" ,�'-'iu�o ��.4:�'-.l,� < .: '_ <br /> Tmffic nk �r'l� � 9–/5�-^ 7�� <br /> Planning ?/ �S. %-3� � <br /> �uILllINIY '� � ' L��v. —�_.i <br /> r� <br /> X-� <br /> �a�J EngineerinQ Dept. 259 33CJ ` NOTE <br /> 24 Hours before fCHECK WITH 1+/ATER <br /> � �OOStfuCtion is started, DcPT. FOR WATER LINE <br /> LOCATIdNS E3EFORE EXCAVATION <br /> —�. <br />