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The undersigned owner hereby corees to hold and sove harmles: the Cify of <br />Everetl irom any and all claims for damages that may arise be��use o( Ihe <br />inslallafion and maintenance of the improvemenl hereto applied for and <br />iurfher agrees fo remove same upon nolice from the Cily and lo teplace all <br />public property damaged thereby. <br />_ �.Y�'[� /t"�CT�r✓ <br />�� G'/ / c? �✓�2` �i�.' j. ( .u':% /�, <br />Z�25/'J c� �d����.q�L��C o�at�J . <br />�/ �5/ I � ��. <br />V U <br />j/(L `7c ,. <br />/ <br />3/; 9���� �. <br />` � =�f �-���� : <br />� i� <br />,� ���, . '( <br />j ' , / / <br />`�; C��C1,L CL��� a�.,LE = C��4' �/�K' _(�C�L fi <br />: <br />lY�. <br />�nspecfoi s nalure � <br />/�'�,�� �G�9 <br />�a�e' <br />:� <br />Variance Required <br />Yes.. _......... _... <br />No..... _... _.. _.. <br />/ ' �Signalure o(�Applimnf -- <br />add-e,� <br />ielephone Num6er <br />Dafe <br />S C-�.:�i{� Sav ,., <br />}�g •� d�. A-.��iz� F� �s-ra� <br />DEPT. APPROVALS <br />Engineers � <br />Waler v <br />Strcet ^ • <br />Comm��„i��i „�. z;- I� .�T� <br />Traffic <br />Planning <br />, .�h `r�. <br />