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Hereby applies fur oermit �on to��•�--` �-> ' �-- �, �J '. ;;�� ���=r. . i� '< li� I.V Fi 4' <br /> i <br /> AND .IJ �Th^�L /Y �� � F_�nFG� �;=;� fN r!-J (-- <br /> At the (ollowing lomtion � � � ��Y I_', 1.�� '^}-_ _ <br /> SKETCH � � � <br /> IWork to be done <br /> 1 � � <br /> - � � ' \ �` <br /> �;-rRE£T � ' , � <br /> DRAiNS � 1 ��� �V �/1 <br /> I ��� , a e� \ <br /> /'�:`; / � <br /> c`S � �XisriN� O � <br /> + N� �� CuL✓ER� ,� \ <br /> C�i LC 1- -�\ <br /> ° i �� <br /> �. � � / �XI s-h�/G <br /> � ,. SEEPAG �-- \ , \ (�5F'NR� <br /> DRA I�/ � 1N �o� � Cveg \ t�. <br /> �� ��' �-; <br /> �---- - - - �` �\\ �; <br /> 1 \ \\. <br /> � `. <br /> � � <br /> \\ `� <br /> , \ � <br /> � <br /> The undersigned owner hereby ogrees to hold and save harmless the City of Voriance Requirrd <br /> Everel� from any and all daims ior damoges tho� may arise becausc of the Yes _. <br /> ......... ...__. <br /> installalion anu ^vin�enance of fhe improvrment hereto applied lor and Na <br /> iurther agrees lo remove same upon no�ice from the City and la replocc all � ��� �- - �� ��" <br /> public property damaged �hereby. <br /> DRIVEWAY SECTION � X � J <br /> NO SCALE �`'" ' )' u` <br /> � /S , I ; � ! Signafure o1 Applicanf � <br /> �I / �n <br /> I" L I P �D c�"� .S�{''r t,(i .�.it . lLv� , <br /> Addresl <br /> ` 30'�f,� ��30;' J <br /> � � -t � rJ- 97 a � <br /> �elephone Number <br /> y. � s�� <br /> oo��,_ 7 7c� ?�!"� i, ,. .�� ,. ,�, ; <br /> 1-•-- <br /> Inspecloi s SignaWre ��l�/ G/,v� �.�.� /.�5�� � L� s �� � <br /> � ��� , • , <br /> 5/T� r'/�ECICCD /O—�{' 7., ,' ' , �, t��< Fee <br /> Dafe " � ' <br /> IEPT. APPROy,ALS <br /> ��RIUF=V.IAY� �A/ST/-1LLED �3'C _�J/'>/a'� � !i= fl �f�l/l c; � U <br /> Remorki kh�� I��l z�13 <br /> Engineers <br /> Waler � <br /> 7�R102 TU 1 --.T[)l1..UC� OF �'�.<'.�� /"1�. . street � , <br /> .• / • <br /> Communications�:+�" - . <br /> Tmf(ic�� % : ��_`-:- <br /> Planning - - ' <br /> .. ----`-- -__._ . <br /> I'i+c ali?�� FpR <br /> (;�� � i.rr �e„ring Dept. 259•SBI: _�� � � ��OPER DRAINAG� � <br /> k� Hours before E��K WITH 1YATER � � <br /> constructiop is:Started.. _PT. FOR WA7'FR UIVE , <br /> j �CATIONS OEFORE EXCIIVqTI[)h �:.— � <br /> �� �no�. <br />