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� <br />�' <br />: <br />� : <br />i �,.) ( � �- <br />The undcrs gned ov.ner hereby agrecs to hold and savc hormless the City of <br />Evcicft from ony und all doims for domoges thaf mny orise because of �hc <br />in,tallation and mainlenance of Ihe improvenent hereto applied for ❑nd <br />furlher anrees to remove same opon nolice irom ILe City cnd fo icploce all <br />puLlic property damaged thereby. <br />Inspecfor's $ignofur� <br />� ' S � /�_— <br />Dnfe <br />l,�ll Engineering DepL '�54 8e�� � <br />. 24 Hours befn,: <br />�onstruction is s(�r;� i <br />— � <br />_ ^�_ _ -- <br />� ��,,-,,,�:. <br />��- <br />— = _ ..k— � <br />�— � � <br />� <br />�J�NI P R1:ING 1AR <br />H 7 <br />H�'E <br />Varioncr. Requircc <br />Yu <br />No <br />,\ . <br />j'�;; I�' . , �`�` Signofurc of Applicanf <br />�IF:.-;.`.-• ;:/���. :�vl../;'�'�.,c_.i'��. <br />'�VG c' ,-f/i <br />�L; rl/':cif`i% -�%I._ ' <br />Address <br />TelepBone Nurr�ber <br />Dafe <br />� Nc f"E� <br />Fee <br />C=�S���L� :-�"��/ /7/ i ;; <br />j <br />'�•,� y;;��.. ��� ... '. � DEPT. APPROVALS � <br />Enginee� �y�-- <br />Wafer�C,L../TznN"1 .j � / 7'- %.� �� _ <br />Strecl(/ '.! _, .. . . � . . . �. .., . <br />r"��� � <br />Communimlions _/ C - <br />T�uHici.1�,�,�5,-�(7 _��-''�:�T---�i <br />Planning _. �-� • � <br />� �,. . <br />