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! <br /> � ,.c, ' q __— — '. <br /> 1 N I <br /> I � <br /> ., �� ���� !ISI)q I <br /> I <br /> I �l/ � PPTin i.l � ('� <br /> I � I <br /> � I <br /> I • <br /> � � I <br /> I � ^' GARnci= � <br /> I 7p c I <br /> I i <br /> i <br /> i I I <br /> __. ___ .. .___. _ ___ _—__—____—- <br /> _--__.. _"___- <br /> The undersigned owncr hereby agrees to hold and save harmless Ihc City of Variance Required <br /> Evereu from any and all daims for damages thal may crise because of the Yes.._._._.._.........._. <br /> installation and maintenance of Ihe improvement hereto applied for and <br /> No.._._.__............... <br /> further agrees to remove same upon nolice from Ihe Cily and io replate all `��j�(+ <br /> public properry damaged thereby. <br /> r' <br /> --- QRIVEt.�,1y. .. SECT.ION � <br /> f _ . <br /> ,.., <br /> (NU�. SCAC:j � -DHIVr\�/AY . SECT10 ��� - <br /> . r •9-i . � �v..,,�__ <br /> �1_ � �:�' �-�--�-- ---5 /� .� �gnaf re o Applimnf ��_ � <br /> �� " , , ,�, � � �` � -"� �� �� � � <br /> �, , __ � - � <br /> ; '. _ �--- ----- . _ ,� ; _.,. --- —• , :.�, , .. , <br /> .�Ap f <br /> .... . ..... _ _ .. �-9 <br /> ' �.... - � _ ' ._ __�--- 1JA Address <br /> f � f� ._.._...� �— '-_—^ �«..__� �..... __ �•I <br /> � � iele hone Number <br /> �,. .. � � <br /> � . _ �� i <br /> ____ .. . .. _---. _ , <br /> .—_-_„�_,. -..._, <br /> _..____..__ . .__.._ „ _ <br /> Dore <br /> m�' —� , <br /> Inspecfor's Signalure � /� " -�������+C, _ <br /> .� Fee <br /> . Siyi� L. c/�''".��,^_ '� 'G� �7/ <br /> Dafe <br /> DEPi. APPROVALS <br /> � .;. ,<,, ,:� <br /> Remarks Engineers ' �� -'-' <br /> Waler ��' � 7 <br /> Streel <br /> fc omunimtions 7� <br /> Traf(ic 1"'.r_c ( �,,, .'l:—'.; <br /> Planning �/i�� - <br /> Call Ertgineering Dept. 259•B803 � N07E PROb'IDE FOR <br /> 24 Hours before ""'�:I< WtTH WATER PRO?ER DRAINAGE <br /> construcfion is started. ' �'�'`r �"'nTGR LINE <br /> , ' , •'�r". EXCAVATION <br />