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(Work to bc done) <br />�__ <br />i��� <br />�r.Y/il5 <br />L—._— <br />— — — ;a -- <br />�,_, , �� � <br />'ti <br />The undersigned owncr hercby agrees to Fold and save hannlesz �he C�' � of <br />Evereit from any and all claims for domages �hal may arise becouse of the <br />installotion and main�enance ol the improvema�� hereto applied for and <br />(urther agrees to remove same upon notice 'rom. the Cify and to replace al� <br />pu6lic property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCA�E <br />�.--- r � ---� <br />30" ��� '��' �30°_� <br />c. —�I <br />inspectoi s Signalure <br />S` %r �r-�ti i� �,? <<'7 C3%-%-- <br />Dale <br />R. `i �� : .= ,GI.�.'i=:�`'K. �i,w,'. .—_ , ' <br />l, � -� , ��,. , <br />-,�- ,--.,. v.:�_. <br />R <br />,V"o�rE; sc�vv co/'r <br />CJry�N A%�PJP�t1L0 7� <br />ri3 /8 _ 7 rt/ q vC �•> <br />�F�6'_A�/1:4 r�cx.!ELL <br />� ������ <br />i! ���� �� �J� <br />� /C � / V <br />✓ ( <br />C "�' L (, � <br />��� <br />a <br />��'I��/ pp 1�1E WAY <br />Variance Reqvired <br />Yez._....__..._ ._._.. <br />No..........._. . ._ ._.. <br />!'.l_� �l�' Y- ��/r'� 9,��s, <br />� ' Signal✓e of Applicanl <br />� «,,; / _ � , ;'����-�� <br />i.' Address <br />��! E'�f- �'� ��'� 7 <br />ielephone Number <br />�or� <br />E _ _ . C� l l � ` rr!/' �% ;'-� <br />w <br />Fee <br />).�;�1/; h�l.� ��/I�/%� <br />:N � J <br />Engineer � <br />Waler� <br />i <br />, '-'S Strecl �_ <br />Commuqrcdtions. <br />Tmffic " � <br />, Plonning _ <br />DEPT. APPROVALS <br />��i:l�'�'VIDE FOR <br />' ,; G _ j �";��iPER DRAINAGE <br />i i:� N!!TH �rrr,TElt yq Hcu�� befo�e � �� <br />❑� T F(`k t+�.A1 FR i I"JF , x <br />� �s'.;t hu i�� ,� � t^�i, � <br />_ ��.a��Ir�nIS r[ f�r".VAfV"��' � <br />, �—._�.. _. .-_..-,._—�.._... ,�-.,,_ <br />nrco..�. <br />