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Hereby applies for permissio� to '-� �+��� � �- � - = "� i / i ' �- � _'_ <br />> r':�' ,i_:.:;!;-; .�, �: - J' )y,-1_f_' <br />. ' <br />At the foflowing lomtion- � r'%�' -� ' .+"' 1 : +�.� � ' -- <br />SKETCH <br />IWork to be done) <br />fy <br />.�..�-� ... �-..-, . .�r_, i, _�.��;�ia . _ ,i-�.�2; <br />� . ._ <br />—�. _ -� :�__ <br />\ i <br />� �% /: <br />�A2�ir� D� \ / <br />The cndersiqned owner hereby ogrees to hold and save harmless Ihe Cify of <br />Everell from ony and all cloirns far domoges that may arise becousc of the <br />inslallalion and maiNenancc of Ihe improvemenf hereto applied for ond <br />furiher ogrees to remove same upan notice (rom the City ond fo replace oll <br />public propr.ty damaged thereby. <br />DRIVEWAY SECTION <br />NU SCAL� <br />f--_ �-S --�I <br />+I" LIP <br />30'' 30" <br />-� -.lf - �y ,��.m. <br />Inspeclor's Signalu�e <br />S�TF_ Ci1/=CKFl7 `{—i %' ,'�-3 <br />Dalr <br />,,.,��,� ;�i <br />iiours befure <br />—�,�rt;on is StartP,�. <br />�;�__'; �,��,�; � �:rHi�il <br />C;:PT FOR WATER I.INE <br />LOrATIrr,,i,� �;r �-nq.= i.;, .,'4TI� �r, <br />. , <br />,y .,-. <br />' •.SJ, <br />i '�,� <br />� . , <br />I <br />Varionce Required <br />Yes ._ ____ _._...._. <br />No... ...._. _.__. <br />t�- _� <br />=z�—�--f � �-�y—�. <br />S�gnalu�e �! Applicanl <br />�U_��..� 3�� <br />�,a/« Address S�i-[:'�JS, � `</,¢ <br />_ 353 —3�_n/ <br />Telephone Number <br />•=% / ". % <br />Dnre <br />>—L � <br />s � �, --�",�� <br />��'! � 'Jl Fee <br />-' DEPT. APFROV <br />�� /J" f�,� <br />Engineers "`-"" ���� <br />Waler. <br />� ,« <br />Street ' <br />Communimlions..; ; `�-'�'� % ��- <br />Traf(ic_s,Q-'�`" - •� � - <br />��, <br />�'ROPER DRAINq�E <br />� <br />...�, .�,. <br />