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At the followirg location i'/ =' ' y C'� % i r��•:�-~-r.` <br /> _....�.'.V"".'""�-�.._ <br /> ' �_- <br /> SKETCH ' �a,G'� , ' <br /> �;; <br /> lWork to be donel °�'-��� . �' c V��`� ` <br /> ` / /� � � _ _cve�s c i�.:� .�' SEF_ �EG� �" <br /> . 1 � 1 ��/-. ..l � <br /> � L.% ( <br /> 1055� 1 . � ���. t:' � <br /> _ 1 , � , 1 <br /> -� �" �;�� � <br /> . _ . � ' � � <br /> � � <br /> _���nc �oR � � �� � - � '�� <br /> 0 <br /> �.: i cR ORAINAGE � � <br /> � � T \ i'h':, <br /> o ,; <br /> V 'F <br /> .y-.�._._. _ __ _ : . � ToE aF .4N�\ � �I <br /> � ' <br /> � � � <br /> .., �., �l-�:� <br /> � �,i���i� O � `�v <br /> C.a r K V✓ITH ��✓�TER i�?.95 \ <br /> C J I ! i' ,iJl" `� \� � <br /> \ �L�� ..i I� �C.: � _ ._ ,,,,,Tln . �� ' � <br /> � �� � <br /> i7. <br /> i ' <br /> � � <br /> TD B:� G.�/J r�� ::��,=�^/ F�:�� f� ' � <br /> I C'C/,eF3 !//a/� T� ,%'',�=._ L%� �:I.- <br /> � <br /> � <br /> Thc undcrsigned owner hereby agrces to hold and save harmless Ihe Cily of \'ariance Required <br /> Evereu from any and oll claims for damages ;na1 may arise because of Ihe Yes__._._......_._ ...... <br /> installalion and maintenance of the improvemen` herclo applied for and No. ._._.___ ._.. <br /> (urther agrees lo remove same upon notice from u�e Cily and ro replace all '�j� `/ A <br /> public property domac�ed Ihereby. �C.L�L��2�lYN/V�� <br /> , �-�i' �/z,a�;� � ¢ �,u; t� (�/ � - ,��,UiTz�r <br /> � <. �"� <br /> ,•l.�l��. � ��-b��'�'°�' �,�t� <br /> i � = `llh��lsol� <br /> u' Address <br /> \� <br /> .`, _—__-----� � ��1�/� <br /> %�;�, ielephone Number <br /> � .' � _�E!�.= � �FGG� oF Ct/.e,l; � G I' �� <br /> j /l� �-i^:'�✓� ?�•"- JLU.=''� ' ", r�- . _'-C' � <br /> _ , �' D fe <br /> �.,� ��,,_.i _ - �`:ts�.�4 .�.� GG/7 �' _ <br /> Inspecror's�Signature /— , S <br /> � �: 1`<_� ,� .�� �'.'�.l ����v , <br /> ' ' Fce <br /> � ���' /c_�% <br /> Dale <br /> DEPT. .4PPROVALS <br /> Remar{:s Enginecrs �� ���'"�� <br /> Walcr <br /> Sfrcet '`'- " <br /> Communicafions-=� � ' ' �' �' <br /> Traffic " ` . . . <br /> Planning � N � <br /> a � <br />