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� . , __ _ _ ---- <br />' ,- <br /> At ihe following location - --- <br />�� — <br /> I SKETCH <br /> IWork to be done) <br /> I ' ,r r <br /> _ _ �Q <br /> , _ _ ,--,�_._ <br /> .�...�,T.1�— <br /> .._,` <br /> � �� � � 1✓.yY - - <br /> � � 1//�- '~_ _'�—_._ `---..._ <br /> , '`�_. -_ <br /> �.r4 .�.``` <br /> I ,�y`�^-����`-�`�`_ <br /> ... ��-.. �8Q � <br /> � � 1`� �., -X i <br /> ar�oposed � s � <br /> PRopo se d ASPha! 7" '�av`r`"'� <br /> ��N�ST REET Po.v i N 9 <br /> �_� Pr►ov, de Fo � <br /> PwopeA 1 <br /> � DRair•i,ny e . �°1�`� <br /> , - <br /> 60 <br /> &Y TiM <br /> The undersigned owner hereby agrees to hold and save harmless the Cify of Variance Required <br /> Everetl Irom any and all claims for damages thot may arise because of the Yes. ... . ... _ ._.._. <br /> insiallation and maintenanre of Ihe improvement hereto applied for and No ._. .__ . . . ... ... . <br /> further agrees to remove same upon nolice from Ihe City and to replace all <br /> public property damaged thereby. <br /> � f � � . <br /> �_ _� O�� ��0 \.,-� : . `-\� 'v\ � ' + <br /> 1�: �N� ��l � R �-� , <br /> _ � � $ign ture o( Applicanl <br /> i V <br /> L�7 /� �- ^ <br /> Ti '/��( '� � G��l�t \�. '���1 � � I{ l _ <br /> (Y� <br /> A1 - �1- l\ � \ <br /> ielephone N�mber <br /> =�� �, -z_c. ` �„ <br /> Dafe <br /> C'� '. i! - - -s-'�� - � <br /> Inspecfor's Sionafure /'' � N �` �� � <br /> Fee <br /> � a � — � 9 <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarkt Engineers � �'S � �� ��J J <br /> Waler <br /> � i . - <br /> Slreet ' �r <br /> Communicolio �/ <br /> Traf(ic � �� <br /> i <br /> �'�'r <br /> Planning <br /> � <br /> � <br />