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SY.ETCH
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<br />The undersigned owner hereby agrees lo hold and snv harmless fhc City ef
<br />Everclt from any oni all daims Sor domages that may arisc because of ihc
<br />installation and mair Icnance o( Ihc improvement hcrefo opplicd for and
<br />iurther agrees fo remove same upon notice lrom the Cily ond to reploce oll
<br />public property domaged thereby.
<br />ORIVE1Jr�Y_. S�CTION: :�'"
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<br />Inspedor's $igna�urc
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<br />Date
<br />�' f r;ineering DepL 259 8803
<br />24 Hours 6efore
<br />��,.,.y„ i; ,��irirv:l
<br />Variance Required
<br />Yes.__ . .. .._. . __.
<br />No...__....__._..._
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<br />� � .. . . .. ...� .__. ..--'-."_ .� Address
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<br />� �'�OVIDE FOR
<br />I PROPER DRAI(VNi,E
<br />Telephone umber
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<br />�r—� Dale
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<br />DEPT. APPROVALS
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