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SKETCH ' <br /> lWork lo be donel <br /> ">) /�i <br /> /�� ASp�a�/ D/w ' <br /> 0 <br /> W � � � <br /> j - 7boa <br /> `� S�c�,;. L.; <br /> � <br /> `� M <br /> l <br /> 1.I . <br /> `� <br /> � M I <br /> � <br /> w .. <br /> � � <br /> �V ��=�� ;..•. c � <br /> ��E <br /> lhc undersigned owncn c�reby agrecs to hold and save hmmiess Ihe City of Variance Required <br /> Evcrett irom any ond oll daims for damages ihaf may orise bemuse of Ihe Ycs _.. <br /> insfollat:on ond maintenance of ihc improvement hereto opplie� for ond No. .. <br /> further ogrees ro remove same upon nolice from the City ond to replace oll �� - --- � <br /> public property damoged Iherrby. <br /> � � <br /> ' f / . � <br /> -� / <br /> � ��- ��l ri' , f.;:1.�'.y �'Jl`� <br /> � � � � Signafure al Applicanf <br /> �� � i <br /> �- ;r, e �1 �- �� , , � �s <br /> �dddress <br /> r � t,- <br /> f� � �y ('/ <br /> Te�ephone Number <br /> , /A . <br /> : ... � .r L_.. � t .. Date <br /> fp ecfor's Signdure s � t <br /> _ lb Gac� L 10�� 1 <br /> Fce <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks <br /> Engineers _ <br /> Water�� <br /> Strect <br /> Communitalions �'� �� <br /> Traffic <br /> -- — — Planning <br /> f°���I 'fi�,IVLIi <br /> � l i y ; <br /> JI.CL�.�.tip�. �� , <br /> �.`c�"L <br /> . i'�, l ., �'.. � <br />