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,-` <br /> , <br /> ,/ ; <br /> f� /- � ' <br /> .c'�� � j� �� �� + <br /> ��_ �� —� <br /> _—�%�\ ��. <br /> �� / ,r - -- _= ` <br /> i � � � VJ ' ,, , <br /> 1,� ` � � �� _ -- <br /> ,h�� / G �� �- _�, - r n-"< < 3��i: <br /> � ASP�-1AL7' � <br /> Pl�RK � ;�3 j <br /> 11 i.;E /•. <br /> / �;. <br /> / <br /> �'�� � / ��� � � <br /> i' � <br /> r I �: _a UuS— � <br /> i.r f2�: T`E <br /> Z'�i ..,d � � � <br /> �ryP� ( <br /> \ <br /> The undcrsigned owncr hereby agrees lo hold and save harmless the City of Variance Required <br /> EvereH from any and all daims for damages fhal moy arise �emuse of Ihr. Ycs. ._ _.__._... .__... <br /> inslallation and maintenance of 1'�ie improvemenl hcrefo applied (or and No.._ ._. __.__... <br /> further agrees lo remove same upon nolice from ihe Cily and to replace all <br /> public properly damaged thereby. <br /> �.. <br /> DRIVEWAY SECTION �. �i,, �, , ,f�, ����G� <br /> NO SCALE ' Signature oF Applicanf <br /> I'-- � 9 -� ,� ` <br /> t ��� LIP � .s��`l �rlDAddres�.�, r!// O�Gv�.� <br /> � <br /> � 30"y -�-30 �S-7S6� <br /> r �� z�i' ' <br /> . ._ Telephone Number <br /> � o� ' / T <br /> ,� Date �//3 � ' ,>—�Q <br /> �--'n+;� y�, ����S- 7� �e� �C���� c�c� � <br /> Inspecfor's Signolure , E I�,�--��'' <br /> / �V� �- f1 Fee <br /> ��ir�- _��''�r�l�k•'"�7 �j/,oi �� <br /> Dale <br /> D�i APPROV,pLS � � <br /> ---�- � %-n/ '� _ �. <br /> Remarks Enginecrs • <br /> Waler ._� • Y.-,Z—� <br /> Strect ^ I •�iLy"'""� ..�-� ,. <br /> — �' .- r� <br /> Communicalions " %� - "�' ' <br /> Traf(ic � � :�. �.�'2�%'�: <br /> Planning �� �_ '����`t� <br /> r�itiv:�ILi�_ i-�.., . <br /> PROPER DFtAIP�AGE <br /> � <br /> 9 licCK WIT�i �YAiER . <br /> � _ - .-i ii: .. .,i���,: � �J,lc i � <br /> . � nrm..;p.g. . <br />