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�. <br />, wAsi �. <br />The Undersigned <br />� / <br />�i �-�, � —z l �-i ' `l"=. l <br />'l <br />Approved By <br />� ^ �� <br />_. .� /. <br />Dafe Approved <br />�;or�s��. t2. A 45' ��� i aC �%�>>., ��,>(..Jr'�,_:._: <br />Hereby applies for permission to � . - <br />"`LF���� �.v����,. �ti�r.��,� �^ t) ��� �• � �r���%�+''`"''`i <br />At the following location �� Z 1 ��',� �<:- ? j—�1--''� � L�% D , <br />� <br />SKETC_H <br />(Wo•k to be <br />I�FRv��.� ���Cw <br />N CD� F= i+'J � T� <br />I <br />J <br />1 ��- _ __ ___ _______ __- _ <br />_. <br />, ________ � <br />3 3� <br />\ — _ _. — _ _.._. — _ _ \ FKlti. EC?GC �.`' hF..�T _ . ..__/ <br />N <br />0 <br />� — --- — -- -- - - - <br />�,�,.,. i�.::•�'� <br />— — — — ----- — -- — — — — - — -- —'_ - .— — ._ � .— — <br />The undcrsigned owner hereby agrees lo hold and save harmles: Ihc Cily o( <br />Eve�elt from any o�d all claims tor damagei Ihat may arise because of the <br />instollation and mainlenance of the improvemenl hereto applied for and <br />further agrees lo remove same upon no�ice {rom Ihe Cily and to replace all <br />public properiy damaged fhereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�-- �s � --`I <br />+I�� LIP / I <br />� 30�.T. •T'30 •� <br />Signafure <br />�—.�> /�� <br />G' <br />-/ <br />_S; ! �"r�<< ,�.r�` ��-Z%-?� <br />Dafe <br />Remarks <br />All Engine.^.ring �ept. 'Sg $8d3 <br />2�t Neurs be(ore <br />` O�nstNctir^ ;s, started. <br />N� 1 <br />�;�,r.�E: { <br />�� <br />Variance Required ""���`�"'�-`"� ����'��,c 1y <br />v�� ._ y` �G��j Z� •` "" <br />No __`�L;.Pr�` • <br />i .l <br />Gi <br />J � ��"`�C�� �-��77 <br />/` Signafure of Applicanl <br />7efephonc Number <br />Dale t�,t, .� �%3i- � ; <br />, ; ' J �` <br />� i � S 2 "L . � �3-� <br />� <br />JFL1f� �i <( I-�"CU� Fee <br />1-(Z-�3 <br />Engineers '_... <br />Waler _� <br />S�rcef ��� • <br />DEPT. APPROVALS <br />" P�IOT� <br />CH[CK WITH WATER <br />� DE��T. FOR v�arFR LINE <br />LUCnTIONS BEFOf�� EXCkVATTUf3 ' <br />PROVIDE FOR <br />PROPER DRAIN;aGE <br />r� <br />