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�� � _ � -�� --.�,,, <br /> ? <br /> -- -- _�_.�.___-------- - PROVIDE FO;; <br /> PROi'ER DRAII•�,4 :- ' <br /> � ;' j <br /> � � ..� ��� �7, � <br /> ,� r'���� , ' !%c-. <br /> � �>:..,� ' —/O ' CO::,.:' ,. ;%:"-Y'✓:; � <br /> �,. <br /> , � •.— . Z..• —. _ . �M1 _ . . .__....i <br /> , I I i+ , � I L,�P�•� <br /> V . I � —`_ ' '/"_ _ / ` ' <br /> I d <br /> �. 4�i Ik �ii I. <br /> � <br /> � � .. I `�� h. <br /> �� ��_ � � <br /> � <br /> (�,� ' ) � � <br /> 'V. LZ `I = '" , i`� ' i i �� ��' <br /> i <br /> ,, .. ; � <br /> -- E� <br /> / � <br /> / � <br /> The undersigned owner hereby agrees to hold and sove harmless Ihe City of Varonce Required <br /> Cverett from any and all daims for damages that may arisc becausc of ihc Yes__ ._. .__.. ........ <br /> insfallation ond maintenance of ihe improvemenl hereto applied for ar.d No . . .....__. .. <br /> further agrees to remove same upon notice irom tne City and Ie replace all <br /> public property damaged thereby. :� <br /> ;�. <br /> h'- <br /> Signolurn o( Applimnf <br /> Address <br /> ielephone Number <br /> T <br /> � �� � �� � �=_ /��"� / Dafe <br /> .%1/t.tt-i`��/ �.r I ��/Y3'�-t5.-�/i <br /> Inspecfo f:�iy�alure � � <br />� ��. <br /> / / Fee <br /> � � <br /> te <br /> DEPT. APPROVALS <br /> Remarks Enginej�rt� N�/l � V ' �\�h""`� <br /> Waferl���.4�c.�—o—��, — <br /> Slreef—. � - �-i- — <br /> Communicalions�•���� � � ��� "��` <br /> Traffic <br /> __ Planning <br /> I <br /> A <br />