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At the following lomtion � — <br />The undcrsigned owner hereby ogree: to hold and save harmless the City of Variance P.equired <br />Evemtt irom ony and oll daims !or domages Ihof may arisr, becouse of Ihe 'Ies... .... _.. <br />installalion and mainlenance o( ihe improvemenf hereto applied for and <br />(uriher agrees to remove same upon notice (rom the City and to replace all Nc__...__ __....__.... <br />public property damaged ihereby. <br />Inspeclor's Signolure <br />.SIT C i�/EC�•C �� `'7L_ <br />Dale <br />'�;�_ TE <br />i;��LC1C N�ITH WATER <br />!"� ' T. FOR VJ.47ER LINE <br />i, ;ATIONS BEFORE EXC/�VATION <br />� i`:�iL�� _FOR ---�� <br />., ER DRAIfVAGE <br />---- _ I <br />\r ���,� i � �t/Yt..C'� � <br />,C : �� � � � .Ci.e. -' — <br />Sig3fure of'Applimnf '. <br />[i <br />> >, C. f..�- /.-��%'r_���.5 !"/%.'eE% ��' <br />Addresz <br />:'�`�—�6n 1 <br />,Telepfione Number <br />Dafe � � <br />c� �c _t° <br />_$ � �• <br />Fec <br />�} �DEPJ._APPRO ALS <br />Ll' ��.����'/9/ <br />Eigineeri � - L— <br />'vValer i ,+t' /� �� - - <br />Street - - -- �-- ---- — - <br />Communi�tions�-i-1 1%1cF�.�-+-c..��%-�/-.�_ .. . <br />r;. .- <br />TfOf{IC� I ./ //�-'�i. i l <br />J� <br />Planning � <br />i'ali [rigin,;,:hiEl D�pt. �i9.o��I2 <br />Z�l Hours betore <br />construction is starteri„ y <br />