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At the following locotion ___. _ _ <br /> SKETCH <br /> IWo;k to be dooel <br /> . ..._ I <br /> I I _..... _ <br /> +('i��VI IJC^._F'.i�; <br /> PFiGr[R OR?�INAGE <br /> �� 20 �z i �z 2 �3 �,_� <br /> , , <br /> , <br /> ; � `�'� I�o�� d � ��'�`�- , , <br /> i ; cF;;,_ <br /> � � An' � �Lf.' � . . i � -_ <br /> � <br /> � � <br /> I.C,`1:1:��'_:.. . _,, . _ . <br /> ti i <br /> � i <br /> �—_ ' � i <br /> _._. ._._ � __ .��' <br /> ic' ._ _ - <br /> , <br /> `�,y �- --"��J �' % 'v' �'I : . _ <br /> , - - - <br /> � <br /> The undcrsigned owner hereby agrecs lo hold and sa+e harmless Ihc City ot Varian.^ Required <br /> EveroO 4om any ond all daims for damages thot may arise becouse of the Ycs . <br /> insta�lation and maiNenance of the improvement hcreto applied for ond Na - �� � <br /> (urther ogiees to remove same upon notice from the City ond to reploce al! � - �� � ���� � <br /> public property damaged thereby. <br /> � ,� � <br /> ��/'"iI/��:�,' � �/,-�,�. 70 J'/,'�. <br /> � '� �(' <br /> $ignalure o/ ApplimN <br /> � .�dd,��5 <br /> -;,, <br /> � Telephonc Number <br /> Dale <br /> Inspedor:�.Signature � � <br /> / <br /> c; r Fee <br /> Dale -- <br /> DEPT. APPROVALS <br /> Remarks <br /> 6igincers <br /> Wale��� -. S ��' ���L �S �:,:0�/ - <br /> ------ — Sheet__ � <br /> Communimlions � ���� �- <br /> l�raf(ic _--- .. <br /> — . — Planning _______ __ <br />