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' I � � I G I i - _� <br /> i � � ; <br /> i -,..�-L_ � <br /> ( ! _ <br /> i <br /> � j I <br /> � ,i <br /> � <br /> , <br /> , <br /> � � <br /> � � + �o, 2 � <br /> I O � <br /> �8 �8 � <br /> ,.a; 11� <br /> nd�A <br /> �j�` _—_ _ . . . ...�C�_ .__ __. �� . �, �.. . .. .._ <br /> /�� _f�=/�/�C'�L�' —:�c�:"r_' ' � . .-:r.,` i. <br /> � � y ��oN�. ,�,c�; ;�� <br /> � �'�' <br /> The undersigned owner hereby agrees to hold and save harmless the City of Variance Required <br /> Everett from any and alI claims for damages that may arise 6ecause of the <br /> Ye s.._._......._..._....... <br /> installation and maintenance o( the improvement herefo applied for and <br /> further agrees ro remove same upon nolice irom the Ciry and ro r�place all � No_............ .. . _ <br /> C.t���' GG _5... �.. s. <br /> public property damaged thereby. � �i1{� F <br /> � � � `��yy�C:li� <br /> Hy-��h ��) G" - ��"'� <br /> �j�/ � � ��.Y <br /> ���(_-���; _ •,,., l���_C'i-��- ��G'�'(J. C� ignalur� of Applimnf ? � O �"f�f1 T/lt��CJ <br /> %?%/S Z�f���� �'�� <br /> Addrest <br /> �Cff-o.'s`5 z <br /> � Telephone Num6er <br /> ,3 �3G �170 <br /> " Dale <br /> Inspeclor's $ignalure $ .Sr. .�� l �Coti/�. <br /> O�i Y_'WG/ <br /> S?F CtiF_CKF�7 `3�/ ��p Fee f� �� �/ � <br /> Dafe <br /> DEPi. APPROVALS <br /> Remarks ¢��7Q <br /> Engineer, � <br /> Water � '�el�._ <br /> Slreef �` � ^ <br /> Communicalions <br /> `i� <br /> e <br /> Traffic <br /> Planning <br /> ��� _� <br /> �k <br />