Laserfiche WebLink
CIT( FN�..��I��itl6- - <br />----�' <br />EVERFTT, \NASH. Approved ey <br />IJ, :;�;�-� �'� : �' <br />Thc Undersigned_ %f� -�'� �• Nfl G G L �/^ ' L'� Do�e Approv'ed <br />Hcreby applies for permission tu CG�`-� e % •G.:i ' '�' � `'' - ' '1 � 'dN�' �,��' �� � �, !`�� <br />pt 1!�e �ollowiny lota'iun ��0� �%'G:!�F =.=/��� <br />SCA L E /" � 6�' <br />SKETC!i r---�— <br />IWc:k tu bc donel �,_ � <br />/ 1 V C_.. %� � r L�� �� L�" /\ <br />� <br />� <br />m <br />s <br />ASP. <br />3 <br />� <br />RK/NG A <br />c <br />2'�t' <br />, <br />� �����V L <br />SP. CO/.�G OR/l�G-WA `/ <br />Thc undcrsigned owncn c�reby agrecs to hold and sar� harmlcss Ihe City o( <br />tverett from any and all claims for damages that may e�rise because of Ihe <br />in,tallation and main:enance of the imp�ovement hereta applied for and <br />furlher agreea �o remove same upon notice from the Cily ard lo replace oll <br />public properly damagr,d ihcrcby. <br />Inspecfor's Signalure <br />� f L / i`= �/'I� // , �L' <br />�_ .. - /L.— �S. —.. <br />Dale <br />Remcrks <br />; :- <br />J � . ) <br />� <br />� <br />P Li' i <br />���� <br />� ���' ,� <br />�U� <br />Variance Required <br />Ycs .. .._ . _...... .. <br />No_.._ . ..... . ...... . <br />. :'." .�: i7 f /C . �� � 1; �' .. — . . ., � <br />'iY�, N. s.�;: �a. <br />Signafurc o( Applico/t <br />v <br />.-S �A % /I C+r- i� 7 i%F .- <br />Address <br />_ .i - � ._ �,�'.-� <br />ielephone Number <br />'v�. �� 3� ; y;��. <br />Da e <br />` �i <br />� / �� - _ - '1 : �i <br />�� <br />Fcc <br />DEPT. APPROVALS <br />i <br />Enginccrs � �J"'."'�'-i'Z f-- �': i� �i'�' <br />�voi��—� . <br />si«�� .Et �- ��s--- � <br />� �" ` - <br />Communimlions ,__.. . J -� - __ <br />Traffic -�� , <br />Planning _._��..i- --- <br />