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r � �� <br />.r` <br />CYPlI•Il <br />� <br />:il'Y ENGINEERS <br />:VEHf:TT, NJASFIINGTON <br />AP?LICATION FOR I iIGHT•OF-WAY USE PERMIT <br />1C 25 <br />PERMIT N0. '�� -' <br />fntUr�a.^:yned ��i��rl�,� NLI�SON <br />lereby applies for permission to �.(`s1 t�uGT A /2� �s�,`f"!%�� Q%iw/ -- <br />1t the following location, % i� S 3'�� ST C u/ — _— <br />Work to be donc) <br />D.t td <br />SG E Ia �Ei Q i! E li <br />cahJ��u-��: ��4% �3 <br />� G w /vd1�7' ..c.�.i, i/,oto6,�i� 1>e �ee.��, <br />� .�2.�C G'�.,d � t/��t-7t' S i'�"k' 7'„�� `j^-ve <br />/{� l.x....t�- <br />DRIVEWAY SECTION <br />NO SCALE <br />r��--- � <br />� \ IY� LIP <br />�-3 0' �J.,--{._ __ _ _— � 30 �J <br />-i <br />�OPY OF THIS APPLICATION TO <br />B[ POSTC-D ON J06SITE. <br />�ALL [NGINC[f71NG DEPT. 25'J�SAtI <br />?4 HOURS BE�ORE COf•JSTRUCTION <br />�HECK LIST <br />Natar Valvc <br />Drainage <br />�urb & Guttcr <br />3idewalk <br />mspec;or's Signature <br />iemarks <br />Jolc: O�iginal lo Customcr <br />1 Co��y w FJc � C n� j <br />1 Cupy to Impcctnr <br />The undersigned owner heret�! agrees to hold and <br />save harmless the City uf Evere[t from any and ail <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvement hcreto <br />applied for and turther ayrces to remove same upon <br />nutice irom the Ciry and to replace public properry <br />Dept. Approvals <br />Engineers <br />Street <br />Communi tions <br />;�+� <br />Treffic � � ' <br />Planning <br />llppwved by <br />n.. .. :......... ...i <br />