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i ��Ziril l`�l.`l <br /> The Undersigned � _ Date Approved <br /> Hereby applies for permission to �"� <br /> / I . <br /> / _ - . <br /> At the following location "� - - '%% ^ <br /> � �- � . <br /> SKETCH �{�' <br /> ---- ..,..___- _- <br /> IWbrk to be donel j " <br /> I; I " I ��,Y ' — <br /> ' ' G <br /> ;; �� > > <br /> j , ,� ,. __ _ _ <br /> � �, . � . <br /> :�� <br /> -t. . y �% � <br /> � . i � � ' <br /> � i 1i l <br /> "__"______ __.__'______._—_ -� <br /> ' I <br /> � � � � �l, <br /> � , <br /> � � � s � , �--_ <br /> �� _ — > <br /> � �i �� ---��- ;•- . T,.,— �.•-• � �{ � �_ �. -'_= i „ ,.� . <br /> � � , .� /' . .. , � <br /> � ; � ��� io,— —'34-r O� �! � � � ,, <br /> � '� 'c=7t/ '."°Jil/r'�, uC"!/.'!. ' '' i <br /> � � ;i <br /> � � <br /> � � <br /> , � � �i (; - ----- .-- -- - - -- W <br /> ;. ��: � � •� <br /> � <br /> '1' -- I <br /> ,1 i F . <br /> �� , <br /> � ��<� a �. i <br /> � — - — - - — -- __.. , , <br /> 1 " ; ' ' <br /> �, <br /> �.� � , � <br /> ; <br /> ( `''' � <br /> ' I II � ---- ------. ._. ..._. .. <br /> -� -�---�-�--..._. <br /> � >.� r^ � 'rjT+-1 S 1 � �" 1__- I <br /> {� i <br /> The undersigned owner hCreby agrees la hold and save hormless the City of Variance Required <br /> Everell from any and all daims for damages that may arise becouse of ihc Ycs ._. . . . <br /> inzfallalion and mainfenance of ihc improvemenf hcrclo appliea br and Ne _ <br /> further agrees to remove some upan notice lrom ihe Gity and lo reploce all <br /> public property damaged thereby. <br /> . � <br /> ^,_ • . ., /�.�, <br /> �+. �'I �A '���1, .I_l� . <br /> .^"` Signalure ol Applicant <br /> 3� C� , <br /> /i7 � ' r. �F� ,.� ,.�,'� � �_�, ' �C _ <br /> Address <br /> � /' � i .� <br /> Telephone Number <br /> d L- i-, ` <br /> !�� � �� Da(c <br /> r. ��,'f' �'-i-s.�. � :�7r'�tc.t--t cc�_ <br /> Inspedor's $ignafure -' " �Y 1;- � r' i.v.'i ' � `.-. <br /> �� / <br /> �� ,� Fce <br /> Dole <br /> DEPT. APPROVALS <br /> l � . <br /> Remarks Engim.�rs � �- '- � � �•j----� <br /> Woler— •` <br /> Slrccl� ' _ <br /> Commo ications <br /> � � .� � . <br /> Tl��{IC�. . <br /> .___'.____' Planning' <br />