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_' ! r.^ '' ' " '',.�✓ .``„'� <br /> At the following lowtion �--' ' " _._ -- - — <br /> SKETCH A�� <br /> IWork to be dor�r 1 ��� <br /> ,i' <br /> - - -- -- _ _ . � <br /> , _ _ -- - -- r <br /> � <br /> T <br /> � <br /> �429• <br /> a <br /> N Z(a <br /> �v(•'(/v. s'J�lcJ' <br /> /i <br /> t= LL1 OTT W'a` — <br /> —-- __.��_` � <br /> l <br /> Thc undersigned ov:ner hereby agrces to hold ond savc harmless the City o( Variance Required <br /> Cvereu from any ond all claims for damages thal may arise because of Ihe Yes......_..._......__.... <br /> installalion and rnaintenance of thc improvemenf hereto applied for ard No_..._.._........... ._.. <br /> further a�rees lo remove same upon notice irom the Cily and lo replace all <br /> public properiy doTnged ihmeby. ' <br /> ` - � . . __.______--- 3�3�t� - <br /> _. i ,:�r.'i '..L�i�1U1� ^ - I <br /> . � . , . :'IU ._ SCf�LF.� . .� fL ��1��"'2 �-� , <br /> ; ��. ��—�' . _ ;�. <br /> i � gnafure o( Applicanl <br /> � .r r' /�,'l�f�� /u-�:^G.f/c4'.�.�-. <br /> � EO -c �.._...__.��._.....�,.._. ,._�...�F� � C � /� -� <br /> s�'41 W ?.>� � � �� , ,�,� Ad ren > <br /> � -- _ , ,'C.��.E-L7�j ,��'�t. <br /> p• -----�� � G ///��� 3 �2, :�� 7 , �s���� � <br /> � . � G'i/ " " * �, � ielephone Number <br /> � G''`��/ �—,�Z — 80� � <br /> . .'�. � Date � � <br /> � .Oi�iIV�'�J�)!!� SECl�10�1 . .�-L� f.•:.,.',��; <br /> Inspecfor's Signafure '' — � 5 . / �. , �i: __,- <br /> _I.�� -- --- '��'�'�'-�-- � ree � -� <br /> ' y.'__'. ' ; .L_ _ <br /> s:r�s- �.yr��rFc,� 7�,ZU�7:Z �..� _�--.. — .-- —.__,� .�.. �'�` y� � <br /> Dafe 't <br /> � <br /> i � DEPT. APPROy.ALS <br /> i <br /> Remarks _ — / v� / / �j� 7 � <br /> �, � ' It1CCfb � <br /> l <br /> WOfCf <br /> S�fBC� <br /> Communicati�s�G L <br /> Traffic��!` . 7- "- �: . <br /> Planni - 7���7'Z <br /> PROVIDE FOi �: .ii , : , i ..,, _ . :.1� , iv:�T:= <br /> PROPER URAINAGE �� youi� oefGtC CHECK N'17H `NA'ic�i <br /> `` �onstruction Is staded„ DEPT. FOR WA7ER LIi;F. <br /> , LOCRTIONS BEFORE �;:C"`"�`'�+ <br />