Laserfiche WebLink
.IIE :CCCfiILI'_�. ._ . --__ <br />Hereby applies ror permission fo_ <br />At the following <br />SKET H <br />(`Nork to ee donel <br />I <br />I <br />I _ _ <br />_ �c-'%-- � <br />�J�o <br />!— -- <br />_r�. _"'.; f /(" <br />�/' ' <br />;r_v-,�J I i� <br />1 <br />� <br />¢4 <br />12 � j��-: <br />L . <br />�� �'� G,H �} � / r 'r�. . . r..- <br />c��2� . <<� �. �' � < � � G, <br />L.,q�L i.��v,; <br />U,�'i 1/C <br />The undersigned ownen c�reby agrees io hold and save harmlesz the CiP/ of <br />Evere:�. irom any and all daims (or damages Ihof may arise because of Ihc <br />insfallaliun and mainlenance of the improvemenf herclo applied for and <br />(uriher agrees b remove same upon notice lrom �hc City and to replace all <br />public properly damaged Ihereby. <br />$ignoture <br />Dafe <br />����7-r v ', 2� Z 4,�C� <br />,�O' Li ' <br />i �� <br />Variance RcGuired <br />Yes_.___.. __ ...... _. <br />No. . ... __...__.. <br />Signalurr. of Applimnl <br />add���t <br />Telephone Number <br />Dale <br />S <br />Fee <br />DEPT. APPROVALS <br />, /., /..� �� <br />�L / �, <br />( I�� �a�1: � � ^t <br />� Engincers � <br />Water G• " - <br />Sfreet <br />� _ <br />Communicu'ions,'�'�'( '� ' ;- <br />Tra(fic— <br />Plannin� <br />