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Ft ;hc folloriing location _: _ <br /> SKETCH <br /> IWork to be done; <br /> ------- � __�.._--- - <br /> ------- ------� ----- _:�-- �--�— <br /> ,,, <br /> , , <br /> _ ___ �� /V��`' � - --��_�- <br /> --___1`_� ` '�\ C_'O;'.':`:': `' - <br /> 1 � i',' t/'. ,C '�: . '�', <br /> {f1 M.:j �l/p <br /> 1 2. ( <br /> ` I -�� <br /> _ �-� <br /> � JI <br /> �' �'I <br /> ., � . I <br /> ., � � %�% <br /> -- � � '--'"_ <br /> .--_ -- <br /> --- ----- - ` -- <br /> V�����L_J�_._/-�� �✓V� � �� <br /> !�c undersioned owner hereby agreas to hold and so•.c hormless thc Citv of Variance Requiretl <br /> veretl from any ond oll daims for damages thal may orise becausc of thc Yes._. . ...._. <br /> installation and mainfenancc of fFe improvemenl herclo applied for and Na � -�--��-----� <br /> {urther agrees to remove same upon notice frorr the City ond lo replace oll � - � - --- ----- <br /> pu6lic properfy domaged fhereby. ; �^�� <br /> r r%: <br /> .�d <br /> r / . <br /> �_ ,7/{ � ' � <br /> , Signafure ol Applicant <br /> . l i i . i ��- - <br /> Address <br /> -� , � - <br /> � _ <br /> ielephone Number <br /> < <br /> . '�/ --1 / . <br /> L.yl[,rj `�-' - _- �. ,U- Dafe <br /> ,-/_Gc.c.�r. �.� <br /> Jnspeclor's S�qn ure �• � <br /> �� ��q F` <br /> / <br /> Da1= <br /> DEPi. APPROVALS <br /> - � ) ( .i� L/�' <br /> Remarks Engincers �-�" � �� - � �\�-� .� <br /> Waler_ <br /> Street / c�,;-��z-v-�C� <br /> Communicafions -t�_ -�i � � I�L – <br /> Tra(fic ' <br /> — f9anning � <br /> � `. ! <br /> ' v <br />