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� <br />; � - � - � � <br />� The Undersigned - _ � � � `- � ' ' Date Appro�ed <br />� Hereby applies for �ermissien to � �)�TA � L r%'. ' -.- 'L'-�,:' '-:: '" _ �- i � -- �, _- -- ' .% '� �' '. <br /> , <br /> ){�y �' - �� � r:. :� :. - -- <br />' At the following lomtion �� =- f ~ - �— � =�� - <br />' SKETCH <br /> (Work to be donel <br /> 3 7 T" S--�, � �N.- <br /> � ANc.. �. _. � , , . - <br /> — � — — — — —/ �/— — — — — - - <br /> � — �,Z2, �PGE o{- PAtIY � ; <br /> _�� �_ .� <br /> - - � I2'. - - - - <br /> � <br /> �or�� � ti <br /> � <br /> t� ���'�' � � _��� �� <br /> �;._,��:�� :_: <br /> �-�XIS?. D/W ��Y:IST LI,I�.rl : i '� � <br />, �I <br /> r <br /> J / <br /> rZ; Z <br /> ;i � <br /> /I I , . <br /> t i ,%j <br /> The undersigned owner hereby agrees to hold and save harmless Ihe City of Variance Required <br /> Evercll from any and all claims lor damages �hat may arise bemuse o( the Yes . . . . . . . <br />. installation and mainlenance o( thc iniprovenenl herelo applied for and Na . <br /> further aaree, 10 remove same upon nolice (rom the City and Io replace all <br /> public property damnged thereby. <br />� \ DRIVE1kAY ,�,ECTION �,,-�r�'.:- ��/ ?� `-`- <br /> / ..:_._. - - <br /> � NO SCALE <br /> � Y 'J � Signafure ol Appli�nf <br /> >� <br /> � (J�\� � <br /> • (�' � ��/ �' � <br /> I" � ``` <br /> Address <br /> 30" ��� <br /> I�---I � s� � rG �- <br /> , _ <br /> '� ielephone Number <br /> / `� _ / ' ..�_.i� "�j'�!, <br /> Cc� �Y-2 /oT�.� �ho�2 �arc <br /> inspeclor's Signalure s <br /> N� �Lr`� <br /> �/�T- S'l-lF_CK1=D �2 - I- 7¢ �r�'� (u� �--� F�e <br />� Date �.r2�"�1¢ <br /> '� DEPT.. APPROVALS <br /> <_- �,��( <br /> � i - <br /> Remarks Engincers �����w "" 'y� <br /> l �l.�ti`l <br /> Wt]ICf � <br /> Slreef __' -�.i.( <. ,vc-i_.t�-- <br /> Cammunications • %�`� ^J%��l <br /> Traffic_ '%� • '` <br />. Planniny Y = � !� - <br /> ' FROVIDE FOR ---` <br /> De t 259 8813 � NQ� E PROPER DRAINAGE <br /> �d�� E�gineerin}� P • CHECK WITH WATER <br /> 24 Hours bc(ore OEPT. FOR wATFR UNE ', <br /> CppS1�UCtIOA 1�°��ea' LOCA710NS Br'..FORE C7(CAVA Il[`�! � <br /> .;:o..�,. <br />