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EVEREIT, WAJri. Approved e� <br /> � ;/ �—• �S �I <br /> �A�14�n <br /> :he Undersigned_��'c_.�—` �� � / ��CJ/�../ ,�' �-, )/�f j f� Date Approved <br /> Hereby applies for permission to��•�--/ 5 i", � GJs�:'' C �.:.c! :/fL�< <br /> At the following location '�� 2� �i /� TEE/�/j'b/l,� /�l ,.,�' � <br /> �� <br /> SKETCH D�;.vc�i;:_Y__—;�c.'icra i J <br /> IWork to e donel ly!� �c. :• ) � <br /> / J <br /> ��.C��Z�t. . L(/`�C�.�._, , �� l�. i. (.C� <br /> � EO�"�__... .. _ ___,.._�80" � �"'"� -� r`-LC��II i <br /> J <br /> � -_ ._ _ _ _ --- <br /> � <br /> � 1 <br /> T,E'ENTON /�L. <br /> �--CO/./G. O.�/VES� <br /> .;a , ' <br /> a.o�—i o I <br /> , , <br /> � / �� �'�,=A <br /> �O �3 <br /> °,^ a <br /> I a� o <br /> � a a 312 — <br /> 0 I I <br /> � fa I� �/� i4 4 t <br /> \� <br /> ��� ,� F,_ <br /> — ---- --__-- ----- -----�-t'-=---- � <br /> The undcrsigned owner hereby agrces to hold and savc hnrmless thc City o( Varioncc F.equired <br /> Everetl irom any and all cloims (or damapes fhat may arise bewuse of the Yes . ._.. <br /> inslnllalion and mainlennn<e of the impiovemei�• hcreto applied for and No ....___�. <br /> furlher ac�ree; to remove same upon notice irom th+ City and to replace oll q �7 �� � � <br /> public property dnmaged Ihereby. �..5�k J�+ <br /> / / � . <br /> ' G\_� . .QRIVE��t;Y �6C7tON.. .. . -- � i -• -. <br /> . <br /> i . �.: . ( i ,,r c.� � ����i� �__.__� �j�� l ' .- _ - . _ � <br /> . . i �' '(r ,�--"- �`� ' ,� Signalure of rlpplicanl <br /> , . �. � � � �� ���� , � � . . <br /> �_...U2� �. �wq i x ~, 3 r. , F _ <br /> � - '____'___'_� , !;Addres: <br /> � . <br /> �T��� -���s�k.—.}._. ._..___ <br /> Telephone Number <br /> � <br /> Dafe <br /> � _ <br /> Inspedor's $ignalure � � ��J`; ,�. <br /> �iiE �NG{kSC� 'S��v/iL� Fec <br /> Dafe <br /> DEPi. APPROVAlS <br /> RemurLs r v i� <br /> Fngincers.�,/ ��`.f��= <br /> Waler ��' - . GS'--' <br /> — Strect <br /> Communicolionsl�t�;�-r•� ��- �- <br /> Traific _. � <br /> Planning <br /> `-,'. . � .� i . .• i <br />