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The Undersigned �•11' i i . i f` � �� d�,� �.� Dare Approved <br />.,,� -. ' _ fl �i �>i � , ,'-J�•"w�%? :.� <br />Hereby applies for permission ro -- —— <br />At the following location <br />SKE?CH <br />(Work to be donel <br />— - } _ I <br />EDG� ^� {� <br />/ � . <br />J, �A'�� I 1, �> i:: r;. :� ;' <br />t% <br />i � , <br />..__ � \ -� i <br />54 r,a 5 r\, 11i i <br />;I <br />s,�J�� �` .�)I <br />0 <br />�(l�lSTALL ( 2�� C(�LV � <br />The undersigned owner hereby agrees lo hold and save harmless thc Ci1y o( <br />Everelt from any and o�l claims for damages that may arise because ol the <br />insfallalion and maintenancc of the improvemenl herelo applied for and <br />(urther aprees fo remove some upon notice from Ihe Cily and to replace all <br />public property damaged thcreby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�•----- 25 � --.� <br />� +I" LIP <br />� <br />�30'� _I_30"_� <br />Inrpeclor's Signofure <br />:� i 7"� C/���='K�C� �Y - �� - 7 -� <br />Dafe <br />�:�,�,� f nv.inee��n� Ge�a. : ,� ai:ls <br />2L NoGf� hebre <br />ccnsttucPi startcd. <br />� 315 <br />-. •, <br />N� `cc, _=: <br />y�(�+T�r Vl;�YF= `:ovr-'F _: <br />CADJ UsT F�u� N !u/TH �nIV`�✓.'f;'r'� �;� <br />FIFcC /; YhI'�i.A; � ; <br />.,.� <br />� �:. <br />� �`=�;:� � F <br />,:�, i, �.�;iru w;;�:•u <br />, �r�.rt ! INE <br />', ..,. ;",r,. <br />i_nC�.� ... P,tl^�Rt:� . <br />�' . <br />Variance Required <br />Ycs _ ___._. ._..... <br />Nc_ _. . . . _.. _. . . _.... <br />n <br />� ; i : �G,r _�� /- o ' �--��_ _. <br />'Siynalure o/ Appliconl <br />, <br />l3 35 /�'l�n��.n,�t �'f ���- <br />Address <br />2-� �—/.Z�aO <br />Telephor,e Number <br />Dafe . /�G— �?5 <br />s � � .�.�1.J '�-�c— <br />I <br />l 11 �; �/ <br />� . I ��..�.1 Fce <br />, - � �• <br />EPi./�FPROVAl5 <br />Engineers • , f � ' g /5�73 <br />ij- � Water � ' ' '�' <br />� Slreet �1 . 4�� , / i, �..:.N-._. �^. -, . <br />Communimlions %'' "�- �� <br />Tmffic �';% '�� '� l+'�i'� <br />PlanninQ`� Y�. �... ��!L.�i�2 K._. fi'a�`.." �� <br />. ,��.� _ Fi�,� <br />;U{'� � C,i,. ,, .,",G[ <br />\ <br />