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4601 ELM ST 2018-01-02 MF Import
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4601 ELM ST 2018-01-02 MF Import
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Last modified
1/10/2020 1:09:12 PM
Creation date
2/12/2017 7:11:23 AM
Metadata
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Template:
Address Document
Street Name
ELM ST
Street Number
4601
Imported From Microfiche
Yes
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�_: ; <br /> At the following location � = <br /> .._...,..,�....—,.,..�,....._-,.�.....�. ..w--.,.�..,...,._ <br /> SKETCH � � <br /> IWork to be donel -1 - <br /> ,�� ��s-'"� , J�f- ' <br /> �, <br /> I .- ; I GL��,?�� � <br /> - 2� �sp. �- <br /> �l�-' -� � �� �- <br /> _.-- - <br /> � ' <br /> .f�-�' f3,t7n/K � � <br /> � I � G F � , <br /> ' � tr�l/E_��'....� <br /> � - <br /> � ' -- <br /> � � <br /> " � „ �J <br /> . <br /> � � PROVIDE FOR � <br /> w r��- "-^ - � •�-=� PROPER DRAINAGE <br /> ,f a � <br /> i � ; � <br /> ...__.._._.__,_,.._..��:. . . __ I <br /> 1 <br /> I <br /> Thc undcrsigned ownen c�reby agrecs lo hold and sovc harmless Ihe City of � Variancc Required <br /> Evercu from any ond all daims for d mages that may arise bemuse of Ihc Yes . .. . _ ..... . _.... <br /> installalion and mainlenance of Ihe improvemenl herclo applied for and No,__. . ____________„ <br /> furthcr agrees to remove samc upon nolicc {rom Ihe City and fo replacc all <br /> public properly damaged thcreby. <br /> / <br /> . . c :i��. . .. <br /> / <br /> -��,� . /. . � , . :' � �.. •: 1 � . � • ..,a. <br /> ' ��� Signafure ol Applicanf <br /> ������� „ �, r; <br /> �) � r.. ' . � .'.( � l�� ' Addre:s <br /> , � <br /> iclephone Number <br /> _ � � Dale <br /> �;(� '..G� �' `��7r*—«:1 p—`: - <br /> Inspecfols�$ignature ' S . <br /> Fee <br /> Dafc <br /> DEPT. APPROVALS <br /> Remarks Engincaa� ���"� � <br /> Water `� .n..� <br /> Strcet `— � '� '`'`''� <br /> Commu icatio'c•. � <br /> . '� ' <br /> Tra(fic �%rr' <br /> Planning , � <br />
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