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t�tn�� � ♦r.w��. �j`_�//�`- <br />The Undersigned��-L-4''H u\2TL.�� _ ! Da�e Approved <br />Hereby applies for permission to ���� ��T2 " 2 5 � �� ) � p � � S'"�ti"1 ' �' '" �/��r,��G' � �. <br />� �? i� ,y f <br />At the following location �� �`'� '`� -3 '� '"� L�� --=' <br />SK�TCH <br />IWork to be donel <br />/-=�';�T��,"� _ _ /fi/�j. <br />'''' �:: r , ... - a p� r/ <br />/ � <br />/ <br />/� , � <br />/� . <br />/ ii' � / � <br />5,L�`� �>L.A�:� <br />� / <br />' �///� <br />\` V <br />/'��>//_ E ; S <br />Thc undersigned owner hereby agrecs lo hold and save harmless ihe Cily o( <br />Everell from any and all claims for damages ihal may arise because o( ihe <br />inslallation ond maintenance of the improvement hereto app.'�ed for and <br />further agrces lo remove same upon notice (rom thc City and lu reploce all <br />public proper�y damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�----�2 — 2S � ---►� <br />I�� LIP <br />I' 30�f, ��3� <br />-i <br />���n(J� / � 3' �� K�.., /�!�'Gc <br />Inspecfors $�gnalure <br />'/. vi %- ;7: <br />C; Ti=' c�� ; ri„ � J�Lrf�/ 1 �� n.� , i� <br />Dale <br />, tivu S t lUf^�, <br />;'> I �,�i� !� �`G. <br />; , _ <br />^ T FOR VsV�TER Lii;E <br />. °',, � <br />._'-_-. ` - -.�2.j1CUNGLFT�� CULVE�-C <br />� 1 �:� '�� � 1 rl =T f; I.LC-�J <br />! bT l3 <br />Variancc Required <br />Yes.._.._...... __..._... <br />No...._ _ _ ...... ....... ... <br />N� <br />SCP.If% <br />1`j��j�li lt�i?'� �.G—`t' <br />�/��7+ I�{/(/, r" <br />.,. � h.LL7�'� �S_.1 I�.v�..-. �ra ! <br />_ $ignafure ol Applicanf `� <br />.� r � <br />,�� <br />*7c:,Z �T-�' ��tilC, <br />Address <br />'�i5�� ""7C`:�`,�i l <br />Telephone NumbPr <br />� '� fl <br />Date � �C/�%� �Z� � <br />� /_ <br />� /�s , �,�, < TC���_ <br />� Cc�� p �-t� ��L , Fee <br />d- 3 _ � � 7'f <br />Watcr� <br />Slreet -� -� <br />Comm�nicalions _ <br />=-tl;�vii)'- .' ��� . <br />� � Vi'.riliV," <br />'� ��=hUPcR <br />� ,.,__..,�-,-�-'� <br />DEPT. API'aOVALS <br />� <br />. . . c'�-, � �. <br />�1� <br />