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At the following locntion <br />SKETCH <br />fWork to be donel <br />, � .� - �.- <br />� v <br />� .`.p, <br />HOYT f�Vf: <br />The undanipned owner hereby ogrees to hold and save harmles: the City of <br />Evereft F�om any and all claims for damages that mcy arise because of the <br />in�tallalion and mainfenance of the improvement here�o applied for and <br />further aprees fo remove zome upon nolice from �he City ond fo replace all <br />public property damaged thcreby. <br />�hc unce�c,i �� ..�.^,rn: �. � I,� � __.,_ �. ti��� . u ` <br />� <br />of ihe Cit�� of Ev��: � ii�� �ci �.�,�11 �c� <br />to il� .�.�i_ir�ai con::i'_i�n at r-� ,.,_� 'i���. ..�_ Li'.y. <br />Inspecfc� i Signalure <br />S/TE CH.�G/E�.�lJ �0��/�7U <br />Dale <br />Remorkt <br />d <br />��rc :: . �+s. <br />' NOTE <br />Call Cn�inr�;;�g Dept. r'S9��J03 CHFCK N'ITH WATER <br />24 How> be(or¢ DFPi FOR V:ATER LINE <br />construction is starled. '.' �^•1i�Ns DF:FORE EXL,avaTIO�J <br />Variancc Required <br />Yes .. _ ._._.. __. <br />No <br />/..:�^71.77.c�7 '�� ��/2��t�Gl���'i/i. ' <br />�—� Signofure o( Applimnl <br />��/-� D //'�. ! y .�-� . <br />Address <br />/ft' "��_. �� i � <br />ielephone Num6er <br />�,� � � ��� <br />oa�e <br />s IJD 7=C�' <br />Fee <br />DEPT. <br />Woter <br />$treef. <br />Traf(ic _ <br />Planning <br />� PEOVIDE FOR <br />I i'F;U� c�; ORAIPJAGE. <br />I <br />