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Hereby applies for permission tc— <br />At the following <br />SKETCH <br />IWork to be donel <br />L A F% �_ ;�i l� P_ i'�.;� f__. <br />The undcrsigned owner Fereby agrces to hold ond sace hormless Ihc City of <br />E+ereti f•.���i -- -n�! ^�� doims (or damages that may arise because of ihc <br />installalic�, ❑nd� muiNenancc ot tiic i^�orovement hcre�o applied {or and <br />further agrees to remove some upon nolice Irom the City and to replace all <br />pub!ic property damaged ihereby. <br />•-��• <br />�!.2.�.r__' 1i� �':.%t.._�4,i.t._<< <br />Inspedor'4�9rafine �_ <br />>> /��/ � <br />D<ile � <br />� <br />Variance Required <br />Yes . . . .... ._. <br />No. . . .... . <br />Signalwe o/ Applimnf <br />� :r �/• <br />Address <br />-�..i-_-j %fG <br />ielephone Number <br />F' <br />Dalc <br />Fee <br />DEPT. APPROVALS <br />Engincers � � � ��' ��" ` <br />Waler <br />Street �- � i, / -�^ .�i � . � . <br />Communimlions � � ��' <br />Traffic — <br />Pionning <br />