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T � _. <br />Thc Undersigned ' — <br />Hereby applies {or permission to=y-_ � `. •. � <br />r.pp:w.•.t nJ, <br />=� �:.26 - 7L1 <br />_' ,� ._, . _ _ Date Appmved <br />u <br />At Ihe following bcation � 4'a �l -- � 7v✓ <br />SKETCH — <br />IWork to be donel <br />NO ScALTc <br />! SOVTh' <br />,r <br />j.l � tf . .- `". v � J '- ' .�`' t I�I_`�I <br />� <br />�� � i <br />— — — — --i � <br />� <br />i <br />Thc undersigned owner hereby agrecs lo Mld and save harmlcss Ihe Cily of <br />Evcrclt irom any ond all daim: for damages Ihat may orisc be<ause of Ihe <br />inzlallalion and maintenance o( thc improvemenl hercto opplicd lor and <br />further agrees b remove same upon notice from Ihc CAy ond to replace all <br />public properly damaged thercby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� l \ � <br />I�� LIP <br />L 30" .1 30 ■f <br />�- i � <br />�_�/»./J f/� —z5' —?5' ,�a� •�ozc <br />Ins��ecfo's Signolure <br />..,i� :-�,��1 ;/1� <br />Dale <br />Remarks <br />. ]1,� /.! �,n, p.�. / ,� ii„ -- <br />: n,;n��oerr�� Depl ,','�`.•:�( <br />24 Hours before <br />��nnstrcdioo is :;' ' <br />� v:ii�,- .,�,._ <br />DEFi. F012 VlATER LIfJE <br />,_n�;�ri�hs er.�na� ExcAvnnnrv <br />J <br />Z <br />W <br />J <br />Variance Required <br />Ycs ... ..._. <br />No _ <br />/1 o�P rf /4 f"�L�E� � '" <br />� <br />_ . � � <br />L- <br />Signafure (�lpplicant <br />�n <br />,r�fc% � S _� i9�:r' <br />Address <br />�5.�' s S i �) <br />. Tel hone Number <br />�L /9 � <br />�a�a <br />JVILii_ <br />:OPER QI <br />3 ic�'-= F�. � . ��_ , , <br />I(I�EG � D "� j�, . 1'�i � Fee <br />'1-19-�4- <br />DEPT. APPROVAlS <br />E:igincers � ���.�117t �nl��. -�`I <br />Wotcr o •i I�F�— _ <br />, <br />Strect _ . "' .' : � � ' "� ' — <br />Cammu�imlions_- <br />TreHic_,�_ .. . . .�.. <br />Plcnning � y <br />