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r <br /> !j„ <br /> � /��/��y'� c_-' '% � / __ <br /> The Undersigned �` �� 7 "r��P S�— I� Dare Approoed <br /> Hereby applies for permission to p"S�N �Al2�- ! ) � �, `- . ." � .--' ; -- <br /> �L< T(���0 "'T"U!Z � <br /> At the following location � 3 � � �A c--� � ' � <br /> SKETCH ' <br /> (V✓ork to be done) I <br /> j 0J ' u/w �, — ---- - � � -- <br /> . � <br /> � <br /> �• � -- <br /> • — 9 _�_--�--_-_ - .. <br /> � i . ,�,, . ' �- - <br /> �J I I <br /> 7 � �Yt>T �,��� <br /> I� ' <br /> '� ��� "l�. IL1�_; r1 : �T/.:.� . , .. . � <br /> � �, i. - �.` ' _ ' <br /> , <br /> � ' I , <br /> , <br /> � � 2'7.5 I` <br /> � <br /> J ,�f,,ti.��/l;r�!� <br /> Q 'SP>� <br /> � ,. � <br /> Y <br /> I _____ . . ._ . .. _ ___ . _ <br /> The undersigned owner hereby agrees to hold ond save harmless the City of Variancc Reqvired <br /> EvereH from any and all daims for domages Ihul may arise because o( ihe Yes. . .._._ _... <br /> installation and maimenonce of the improvemeni hcreto opplied for and No._. <br /> further ogree: lo remove same upon notice from the Ci�y and ro replace all ��-� ���--�- -��- -� <br /> public property damaged thereby. <br /> / <br /> DRIVEWAY SECTION � � � <br /> ��____�NO SCALE � ! alure ol Applicon� <br /> I � '`� 3 D <br /> f� ��.t�P -�1 �� , <br /> � /� _` � A d.ess <br /> �� � / <br /> � 30�• . - �, . .30 •� ��L 7 S�D � <br /> ` ielephone Numbor <br /> , -� - _ 3 <br /> ^ ��� � � onre <br /> � <br /> � � � �� 3�� 3 � �L� <br /> lnspedor's Sig ure = G' � <br /> , i <br /> `-, .: � ;;. , i� � � . -� .�_� � �; ��,- '�� :� n �, G,.. Fee <br /> -/ �J �"� - � � ' r <br /> Datr �,. ... � . '-� <br /> DEPT. APPROVALS <br /> Remarkt Engineers - �- �?� '� `��'"j` %� . <br /> Water � `� �-�'1 � %�GL'r.w< <br /> ' Ji I .'_i/' � <br /> Streel� - <br /> Communicaliorg " � " <br /> Traf(ic ./�'2 <br /> Planning— °/+ ;/'+ • <br /> f iiG\'IC� fOR <br /> " NOTE PROPER DRAINAGC <br /> Call Engineering u,�;,t. :' .- �` ' ,��[�:�� wiTH WATER � <br /> �.,,,. <br /> 24 Hou�' ' . ,. rrrR ��NE ' � <br /> Consirurtir� .. - .,�' i � � ^�_ :.-��r:�.�r,. ,�,rm,� �. ''. <br /> — uco w. <br />