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SKETCH <br />IWork to be donel <br />4 <br />M'i -':a. <br />,� r'7/n <br />�'" <br />i" <br />3 <br />W <br />_ <br />9G4LE <br />1"r(a0� <br />� <br />�1GHT 1' <br />Kro�,F' <br />CON�u <br />�E_ASa�V.: <br />c�,es r� Y��✓d ;,a .v��� ���,� r� T�i,�K <br />C15:/f _'� '! ;�.J %: u�'�l DG/T D E� f!l'�. <br />� <br />I I <br />' f <br />f <br />_ _ __— __"—_ .:_N�_�. L��..c __I <br />s'rR� E T <br />AttEY APF?Rphc.ff �,AOivs 7'0 8� <br />� CVIDf�l�D <br />- � — <br />z <br />3 <br />4 <br />The undersigned owner hereby agrees to hold and save harmless Ihe City of <br />Everelf (rom any and all claims for damages that rtiay urise because of Ihe <br />installafion and mainlenance of fhe improvemenf hereto applied for and <br />furfher agrees to remove same upon nofice from the C ity and fo replace all <br />public property damaged thereby. <br />_f:�:7�'�.—..Z�D — <br />� <br />��:�ro�: s�e���.e <br />Q.--- __>�.`NES�. �1!,SE_...___ __ � <br />:J <br />� <br />.� <br />., '� <br />�, /�� i�� CrlJi�nl <br />� ��q7L � � <br />I1f � �Ik ���L ii 1 <br />���N7er� ��i1i�''J <br />.� 'S r � <br />/� o <br />, t.��:^'sf� <br />ih� �f�, 5� <br />L � `' �• <br />E1XF8:� Engine <br />� Water <br />Streel. <br />Planning <br />Varionce Required <br />Yes........................... <br />No...... ...................... <br />L�� �i,... i . <br />i <br />�7 �� _ /'`<rf�� <br />Signafure o/ Applicanf <br />�// / , <br />.� �' –Lc� X�l.��:.-�Z�� . <br />Address <br />.�� > 77,1' �� <br />Telaphone Number <br />S <br />/ � "� , <br />oore <br />Fee <br />APPROVALS <br />