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SKETCH <br /> (Work to be done) <br /> � ,;i, ;� i, r <br /> _.__ i;. . -- — <br /> e� <br /> . ___ \ Fp, \ -�- _ . <br /> - � - , / � <br /> �'= ��� j' <br /> 3 � --�1 � <br /> � ���� ' <br /> ,, ; <br /> i I 4� <br /> 1 1_ _ � � I <br /> � I J� <br /> . , _-__.. I �� <br /> � � <br /> I ` <br /> � �, <br /> � � <br /> � � <br /> �\ <br /> I <br /> � � I <br /> ��, �' I <br /> The undcrsigned owner hereby agrees to hold and save harmless the City of Variancc Required <br /> Everetl from any ond all claims for domages Ihat may arise because oF the <br /> Yes. ._.............__._... <br /> installafion and mainlenance of Ihe improvement herelo opplied (or and <br /> No_....._._..._........... <br /> further agrees to remove same upon nolice from the City and to replace all [ t � <br /> public property damaged Ihereby. �_�`1 V.y <br /> DRIVE��n�. . �SQCI'fOH <br /> (�ND:_-SCAL:� ` .U121Y�\�/AN.. Ltn.-vv7 L''� � i/.l:-'� <br /> 54CTION__:" � <br /> �i„� _ g lure o pp canf <br /> fA <br /> Si �(a i <br /> . � ,. � <br /> � tlf!• � •� �j <br /> � "'� i -�—'-- !-9a� '��� . _. ^ 1 ` Addrest / <br /> ' -- , .: ,... ..... ___..._.._.,_'_A/ ��,, <br /> � /�• <br /> i ' � _. ._."' . '- -!�__ <br /> jl F «-�- <br /> {�..___:, ::_�_ �.i�� � t. ...._. ,_. _ -- <br /> � E:-�_ ,, , - � . �I_ �vA - <br /> � � �,_,_ � �j r,`�- C�r !/9' � <br /> ' ��� "�"' Telephone Number <br /> / / <br /> (NO "Saalf ) _, ��z��'� <br /> Dale , -..,_/ . ' <br /> / oO � •;Cf. f - . <br /> Inspedor's Signolure S �v �.LS� � <br /> � Fee <br /> � s��--r �i�� .;c- ;� '�%14�7L <br /> Dafe <br /> DEPT. APPROVALS <br /> �� <br /> Remarks Engineers,'--���/�r� �/�7� <br /> Water ;i�lrsi�tHc_, / -2 :'-%/ <br /> r <br /> Slreet J i <br /> Communicafions � ��/��• <br /> r- � �cR) <br /> Tmffic� - <br /> Planning '�N'� <br /> Call Engineering Dept. 259�8803 ' <br /> PROVIDE FOR ��J +'E <br /> PROPER DRAINAGE �""'`��` �'�ITr� ti^lqTER <br /> 24 Hours befoie u�PT. FOR y�,ATER LINE <br /> construction IS St�rted. �-�`CA7ION5 BEFORE EXCAVhT{nh' <br />