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_ � �. <br />' � �Date Apprwed <br />The Underzigned �� �� T t' � /` i �% — F"1 � {-� A � � � U I •� t-^ <br />�-, <br />C=:s�. � s-r r�- , P 2.i\ r„+ .� <br />Hereby applies for permission to � , � � '" ' `- r'� �° U � T� `' ` � �'° � <br />'D t � <' tT`-i �'(� .-, f�,-,2-n� <br />.y. �-.r <br />A' the following loca�ion ��'T �-- f�<-�:--1�_s- •= ='"_`� C_ t_. -�_'�t <br />SKETCH <br />IWork to Ee donel <br />A7� <br />U.`�i �-�,, <br />E� - <br />, �1'L � �� �.t_, . <br />__ -_—'T_—. - <br />CENTk'AL LUi/ic`,�AfJ C��L:F f�� <br />-- _ ___ _ ___ <br />� <br />� <br />� <br />w � <br />51DT1UAtJc <br />� GVF-�S <br />-- r-rn r� ,--, <br />n aisr PH��,-��,� <br />vAvru <br />Fl���y <br />The undersigned ow�er hereby agrees to hold and savc harmless the Cily of <br />Ferett from any and all claims for damages thal moy arise because of Ihe <br />insfollatioa and maintenance of fhe improvemenl herefo applied for and <br />further agrees lo remove same upon notice from the City and to replace all <br />public property damaged Ihercby. <br />l�>drJ ��7rt-�'� "7/�^__L_LL— <br />Inspeclor's Signofurc � <br />Dah <br />�. , ._..� • t - . , �;- -r._, <br />� _ _ <br />-;..�', � %�-,- ��- <br />, �� <br />No SCALG <br />r-�� ���-3 <br />Variance Required <br />Yes..... ......... _. _. . _... <br />No_. _ _ ... <br />I�J�L'� r � �I //"`��tiv <br />$ignature cf Appliconf <br />�� �� f% �i���� <br />` Addrels <br />�z�a��/�-3 <br />-, 4 � Telephone Number <br />! ��' /� <br />Dafe <br />= iJ �c �F C <br />) <br />� Fee <br />� (. C. � (1 i'i t � �GC i <br />�— 3�- �3 <br />�E c f�Ec!� ,��,�1� �,�cnv�t rf���.� _i,� �-r��- �f1s. �n�> <br />���,. c=-`�. y cr-r�� Coo-�Mu��c�-no�t�. 0��; � P,U,,U, <br />4=02 V N�F 12C' ►20�}s x'l U�l"� �..� T IGS � <br />Call Engineering Dept. 259 8En3 <br />2a Henr. � (^re <br />Constructi-ri i�: ��`�i�. <br />_�� <br />�P!pT�. ___ _-- <br />�`��:I<'r.'iTH l"JATFR <br />�'_!'T. i iili WA i r R LINE <br />� � �CATIONS 8[FORE EXC.qVATIC�N <br />DEP7. APPROVALS <br />Engineers � '- '.N/� . ' . :• <br />Water� ' � � 1„(�'f`s-y' -- <br />� � �. <br />$trcef ��`�. ' "' <br />Commonitations - _' <br />TmHic <br />ria��t�¢ i i F. �" -3!—'13 <br />PROVIi�C FOR <br />FRO�ER DRAINAGE <br />AKO •�, <br />