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_.,__.... , <br /> �nn�n _-----._...._-ij----._., __. _. <br /> IWork to be donel �• <br /> "�`�SO� Pl-,' <br /> ; i —` \� " ' � <br /> � � ���!�' _���� <br /> I �• <br /> � f:. <br /> � , <br /> � � ` � <br /> — � ,� � = � ' ` 3�r <br /> i <br /> 89�s � <br /> � � tiii 3E <br /> I / <br /> i <br /> /� � _ . . . . _ ._._—�___ <br /> i f <br /> I� . ._".^���.�....+... � � _ _ _. _ <br /> .' - _—_'__ —__'——. � <br /> Variancc Required <br /> The underzigned owner hereby og�^es lo hold and save harmlezs Ihe City of Ycs.__. ..._..........__.. <br /> Evnrett lrmn any cnd a�l claims lor damages fhat may arise because of Ihe Na _... __...._....-_... <br /> intlu�lciion and maintenance of ihe improvement hereto applied for and ��7-� `� <br /> (vrliier nyrees to remove same upon notice from Ihe City and to replace all <br /> publi_ properly damaged th�reby. <br /> � 17M. -. ., . ., . [C'7'IJN.-...�_` — _ � � <br /> ,,,,�_,._.___.. . ....... . . f. .�9�.CTIOr—i`d .r..�-�- �.. . _..__- ` 4 ' S AL :, j t I Cl�e��l I !�'< C�/� L//J <br /> U ���E������� Sig arorc of ApplicaN <br /> . . -"�"__�� �� -� <br /> �, , � ' ) �,< < 17i1C{Yc� tf �4 / <br /> 1. . <br /> l ' <br /> • "^-� � A�dress <br /> .� <br /> �� � � T��� ry � <br /> � „ _': -'— " 1 ��/ — I �:_ f� _ 1 ... __ _����� f 3 � � l L� �•. <br /> . .i_ _... _ � , %�- - <br /> V 's � < <-:J"" '- '--'---'-�'� ielephone Number <br /> ' •�i i���,,..�._,��._- 9 <br /> / p _S ���R ... <br /> �/„/�/ <br /> \! �__.___._.�_...�._ _--_ ._.__.____� _�_ Dale <br /> -.' '_ $ �5��,�t,y��tC.il' ?/// <br /> � <br /> Inspecfor's Signature ' <br /> Fee <br /> 5/T�t C�c�rsyJ `�/7�7/ <br /> Dale <br /> DEPT. APPROVALS <br /> ;r.�/�' �z,�-7% <br /> Engineea� ��� <br /> �� ./t'�<.. ., _ � - 7 • <br /> Rema�ks Walcr� . _._ - --._ . . , _. _. . <br /> Slreet �� <br /> Communications �,.� � <br /> Traf{ic <br /> {� r r,: l �. .� ..�: .� <br /> Planning ��'� <br /> ='�'J!�C �-�OR�---�— <br /> • �dOTE � ^�'�'�� URAINAGE <br /> Call Engineering Depl. 259 55�3 �•iaFu< :+'n�a 1vA7ER I <br /> 24 Hours be(ore �,i-�T rn�? ',v;,T�rt �mE � <br /> construction �s sh�feA. :.r,���'.; �.��," F�.; �'����;f` �����-��'"rIC�N �_ -- <br />