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`�TE �— � '.�//G.�/ Cr2'�o,�✓E FE.Nc� <br /> z- -���`-'�.T`�.€u��T'� _ �''� . . - • ._. _ G�/1TE � <br /> _T��" ;�i-. [= •�_/. '== ;� � <br /> ;r�"'f'� t'4"�di_. ,'�, � <br /> � <br /> I � <br /> 8 9 /O /; 12 /S /2 /5 Ib l7 18 '\ <br /> � <br /> Gi17E _ - - _ . � <br /> h'EdY.-�Ti A Y�. <br /> The undersigned owner hereby agrees fo hold and sove harmless the Cify of Variance Required <br /> Eerell from any and all claims for damages fhal moy arise bemuse of fhe Yes._...._..._.............. <br /> insfallalion and maintenance oi fhe improvemenl herefo applied for and <br /> furfher ogrees to remove same upon nolice from the City and fo reploce all No............................ <br /> public property damaged fhereby. „�v �;. <br /> .�j , c� ��n-.,.,-ue/C 1 -P.�.a�y .. ��`� ��. <br /> �;"� J���e , ,:i1•t�..�._�-f�,� '�. �lr.rms •lulr �� oU, ,�lf- COl ' � <br /> �-- : . :,_ ` -j� , <br /> ' , a./� D, ,�a-�.;� � " <br /> i � �31 �. r.-.-.-,�_ . _ <br /> •��-;�/7� G:�i.,c-t�.,��.� �.�•`. .�°'�� � `Signalure ol Applimal <br /> �� ���'l /�.,t�tL R <br /> J�:3 ` „ �--- /!/f '�_!/c�_cfJ- <br /> �. , �. ,. <br /> ������ � � ':1,, . li.i�rca�d �.�r,_rs Address <br /> l ' /�- dl <br /> � -, � . ��%���r%Z� - 'r— �'l._� <br /> /._:,j� " ; _.���������� � ' <br /> � <br /> � Telephoiro Num6er <br /> �y�� d' •. c . �� • �% FB� .2s. /97� <br /> '/.CcK%'�!•t- /�D,� ec.-c�G � Dafa <br /> Insp�cfor't Signafurs s <br /> �%ELD CffzC.�' z/��j',(L i� Fee <br /> Dal� <br /> DEPi. APPROVALS <br /> R�mwki -3 <br /> Enginee <br /> Waler <br /> Streel <br /> Communicofions <br /> Traffic = <br /> i <br /> Plan�ing �'�!".�_— <br /> v � ���l <br /> ./'�f i. ��c>K °�'�C// .r <br /> l; � <br /> , - <br /> � _ '' :.� <br /> , �.. <br />