Laserfiche WebLink
SKETCH <br />IWork to be donel <br />n <br />� _--------. _: . _ <br />� <br />m � N ! N <br />. : .. __l__.�.�� <br />— �, <br />l i� <br />�� <br />th <br />% ' ; � � . <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everell irom any ond all daims lor damages that may erise bemuse o( Ihc <br />installalion and mainlenonce of thc improvemenl hemlo applied (or and <br />(urlher agrees lo remove same upon notice (rom Ihe City and b reploce all <br />public property damaged Ihe�eby. <br />Inspecloi s Signalure <br />s rh Cs>� C�c c�i> 'S�zG%ri <br />Dofe <br />Call Engineering Dept. 259 E�'�� ' PROVIDE FOR � <br />24 Hours before pF0'r'ER DRAINAGE <br />consiruct'�on i> ttarlyd. <br />��r..��J�e�!'v+^ <br />..� � <br />1��• � <br />_ <br />� <br />Veriance Required <br />Yes__.._......_.__ . .. <br />No_.. __...__.... . <br />N�..�;. <br />� Signafure ol Appliconl <br />/�v /L <br />Address <br />ielephone Number <br />�'i <br />Dale <br />5 �I��' l--�`---�_- <br />Fee <br />DEPT. <br />Enginccra� <br />� <br />Woler � <br />Sireet <br />Communimti� <br />r�arr� �1 <br />Planning T /� <br />. R��_ ` <br />CH�r�� „li�',�;:.':r� <br />oa�r ��i;;�;r.r�r, �. <br />�cc;,ri�,,,� ,i.,,�,�f , . . <br />- �i <br />