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1 <br /> SKETCH i <br /> lWork to be danel I ' <br /> I � <br /> __ <br /> j <br /> - ------ - <br /> _ ---- <br /> _ _ _--- --- — --- - -- I <br /> �--- _ -- —� �/ <br /> —�---�— — �. , � <br /> l) <br /> aG � �. V` ��:� <br /> L� °a ` ' Z ' <br /> 5��,�t �OSc'� (L� • � � � � <br /> p� �,� ,y�� � ; <br /> , <br /> . � � � <br /> / <br /> � . , <br /> — - <br /> - - - , <br /> _�-- ,-- � ; <br /> � � ; <br /> ---- __...�----- --- --- � I <br /> -- -------------- ---- ,l <br /> I I j' <br /> i � ` <br /> ; <br /> ,' I ' <br /> / <br /> Variance Required <br /> The undersigned owner hereby agrees to hold and save harmless the C�ty of Yes.... <br /> Everetl from any and all claims for damages Ihal may arise because of the No..... ......... <br /> instollation and mainlenance of the improvemenl hereto applied for and --�-�--���� <br /> further agrees fo remove same �pon nolice from the City and lo replate all <br /> public properly damaged thereby. <br /> i <br /> DRIVEWAY SECTION ��i ;; �; � (,:�,��LI;,�,�� , '.�;�, '�:' <br /> NO $CALE Signalure of Applicanl <br /> ����� ��� � _ •,;L �> . G: .';..�. � c1�-. �1��- � � . ' <br /> I�� LIP Address <br /> � 30�� _�_30"J �:��'.. �'• _ --;• <br /> � Telephone Number <br /> �,,,� c � �� f/-7- �Y : 2 5 a�'� 6�� y���, <br /> f�A b ( <br /> Inspecror s ignaWre 1 K-�� �l <br /> Fee <br /> ��T«'���:21''-73 fZsc'n �.,,� c�.. <br /> tf-6 -73 <br /> Dafe <br /> DEPT. APPqOVA <br /> - � , <br /> Engineers �� � '��73 <br /> Remrnks Water �- "��""� �- � 7� <br /> Slreel ti ' � <br /> . ' <br /> — Communicolion: -`` � <br /> Traffic .%'� "��/ «_'�-�_ z" <br /> �— <br /> Planning �i `� - �'' - ,�"' <br /> l,Bd Ell�if;QCflll(; D;;�:i. CJ'J'Jo+� ' Nr?TE r�..li�ii:.�_ i�U:� . .. � _ � . . <br /> 24 Hours before CH�CK VIITH V��ATER I �'iYOrcR DRAINAGE <br /> construNiin is started. D�P'L FOR NJATER LINE � _ <br /> � � '�r,3lir�;;�S BEfOR[ E:'GA'✓11TIDP� <br /> � � .��o.�• <br />