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SKETCfi <br /> IWork to be donel <br /> � — <br /> ), <br /> ! _. <br /> / <br /> Fn' I \\\ . <br /> IY <br /> 1 °5�• j \ <br /> � � � — �---- -- — _ <br /> i ' - <br /> �_- — <br /> .:�. "�--Z, �9 EMERSON P�AG E. <br /> m <br /> /_ i '� � <br /> ` p - - <br /> .�� / �— <br /> /// ---- -------� <br /> n //j <br /> 4� �r� \ <br /> ,c'` ��� 8920 � I <br /> y_ i/ m � d. <br /> J � 2� �., ,� .g <br /> 6 �', N <br /> U_ ._ � � <br /> The undersigned ownen c�reby agrecs to hold and save harmless ihe City of Varia�ce Required <br /> Everetf from any and all claims for damages Ihal may arise because of the Yes <br /> insfallalion and maintenance of thc improvemenl herclo applied for and No�...� �.. ....__.� <br /> further agrees to remove same upon notice from the Ciry and to replace all "�3���f � ���� � � <br /> public property damaged thereby. � <br /> ' ._ ------Dtit . • r.ti:,. ..�EC7'ION ,. .. ... . . . . . . .. ,_.__ <br /> ' (�;U SCr�tE) _ ` ,. �^�Y SSC;'fOPl� �/ � 9 /' / <br /> ; �'--�----• -- � --- �1 n c !"d�'ii-�1'J O � /,�.' t �1 ."� <br /> , <br /> : � � � � lure o( Applicanf <br /> f � �� M I ..�... , I ) <br /> � � .y. .,� �O - ... � � . .. ' .` .. ... . . . 1 _ _`_ __ •' S �7r�C��� 1GTfl �% <br /> 1 __ � ��,c_ <br /> � i� ..._ . _�...._.... ',/ . .. . . .. ..,. __..�---' �� �i.,�'�.�sj ` Address <br /> - ' _. --- � � S <br /> �' i <br /> , S __ �.`:' .__-- .._ i .�, ___.....,_.,.._.._....__.__ � �� s.� - �-� �-/ y � <br /> ! ! G Telephone Number <br /> ' lu_ ri.a4rA <br /> _ _.._.....___..____.__.__��...'..__.._.._..._. <br /> _�.._..�.-- ---.�_.�__ I��/G l7n <br /> Dafe � <br /> 00 '":i� . .t _ , <br /> Inspecfor's Signalure $ 8 —' �-�j� � � <br /> Fee <br /> .S/i� Ci��G.N�iJ '2�d'�`7/ <br /> Dafe <br /> DEPT. APPROVALS <br /> .����j�/ �z/e�� <br /> Remarks Engineers -T—�+� (;Lr/�'���2' <br /> waror l L, - .�-, . n }a, .L <br /> Strcet <br /> Comm���„�'��. r$JC^"-""7�} y"L""�'�-. <br /> TraHic � �` �). � ,/ ^cL`/� � <br /> Planning �-'���� <br /> Ctll Engineering uept, 259•88UJ ' NOTE <br /> 24 Hours betore � ••--�_^-__._. ___�.___..__: <br /> ; f�ROViD� I�O,� i ca�.�rK �viTia vd��r�z <br /> F.l�lISUUC110f1 IS S►efted. ��H(l{�[;; [)j�;�il�^,G� Gi:PT. FOR YrATER IIi�F <br /> LOCF;(li?"J� BcfQRE E"C�4VATION <br />