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i <br /> i 1 <br /> � J /`E D;:E o F ;.�f�,,r -r <br /> l �� ' <br /> / <br /> �ra H f.J;,r.� �� , � /, <br /> Nd G — — � � ,� <br /> � irk:- -��_ — —� t - _-T ' 1N5'rl�t_l_ 1�- . <br /> j2 , . _ <br /> � >:.,� � CtlN�'�:. C�.dLVc.::";"t' <br /> �� <br /> i �\ <br /> � �. <br /> `�.� �> �-- � I <br /> � , �725 ' <br /> � ���`.� ��' <br /> �� �or �! ' <br /> j. <br /> / <br /> � <br /> The undenigned owner hereby agrees lo hold and save hormless the City of Variance Required <br /> Everetl irom any and all claims ior damuges Ihat may arise because of the <br /> Yes._..............__....... <br /> instailation and maintenance of the improvemenl hereto applied (or and No. <br /> ._ _....._.._......_.. <br /> further agrees to remove same upon notice irom the Cily and fo replace all <br /> pubiic property damaged fhereby. /1 <br /> .� <br /> DRIVEWAY SECTION �,��,�r,,��-;.� <br /> NO SCALE � Signafure oF Applicanf <br /> �•--- 2 5' -� �7: i.t'' s � .j�[a �`�rrT � 2 U�r. <br /> I" LIP ,7Ad`d�ress <br /> �.30�� � - ..�.30� � �/ r°!" 1 !,r <br /> Telephone N�mber <br /> �� 2.,- 2 3/ 9' <br /> Dale ��/� �_ �� .- 73 <br /> ! � � <br /> Inspxlor's Signafure S �L- . `� !�L-"' <br /> i � <br /> siTE c�-lEcK.ED i/- /4 - �3 ��r_:�_ P �1 . F� <br /> �are //�B-?3 <br /> /�DEPi. APPROVALS <br /> /// // / � <br /> Remarks Engineers �« r� z <br /> Waler <br /> Sfreef � � <br /> � Communicalions ���r'" <br /> Traf(ic .��c�� i� �2- <br /> Planning ' i�- l- � � <br /> PROVID[ FOR ' NQTC- <br /> PROP[R DRAINAGE <br /> Call Engineering DepL 259�8813 CNECK 1NITH V✓AT[f2 <br /> 24 Hours b�tore <br /> D[PT. FOR WAT[R L!Nc <br /> =t�rtzd. �ocnrior,�s EEFORE E,ca.��nrior.� <br /> construction ' C � <br /> /l � <br /> . eYf ` , eK0 n�. <br /> �L '_ <br />