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2115 15TH ST 2018-01-02 MF Import
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2115 15TH ST 2018-01-02 MF Import
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Last modified
5/18/2022 11:39:45 AM
Creation date
4/4/2017 12:43:18 PM
Metadata
Fields
Template:
Address Document
Street Name
15TH ST
Street Number
2115
Imported From Microfiche
Yes
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__ _ _ __ � <br /> , <br /> � _ <br /> I ' �� � <br /> , <br /> I <br /> . <br /> � <br /> � . . ..---- -- n . <br /> I -� � -� � i <br /> -._ _ _ . , <br /> -- .----_'_ �'I . __' _._ . � " ' ^ rd . 1 TE.: �,�T ThCEa DOYN <br /> ,� � � ; � i � I <br /> I __ � . ; <br /> � � -�� . � <br /> I ` � <br /> ,�; �. , <br /> � � <br /> , � � � <br /> � � �n ; <br /> � -- - — ---. .. <br /> =--� �—_ _. .- --- <br /> _ i� I_ _ <br /> The undersigned owner hereby agree: to hold and save harmless the Ci!v of Variancc Reqoired <br /> Everell trom any and all claims for damages that may arise becouse of the Yes <br /> in;tallation and maintenance of the improvement herelo applied for and No.._. _. . . <br /> further agreez to remove same upon notice irom the Ciry and to replace all � � � - � - , <br /> public property damaged thereby. <br /> ,� : <br /> Signafure of Applicant <br /> T" � <br /> add,�5, <br /> „ : . Telephone Number <br /> //j�i 'y�,%!_' <br /> Dafe <br /> Inspecfoi s Sigrtofure S /;l�' � e� <br /> / <br /> ' Fce <br /> _.Si� �NE`C.t'.t/� �'�' v�7c' <br /> Dafe <br /> ���Py S^G=.C/% TU P/��P�� .I���"�j- + � DEPT. APPROVALS <br /> Remarks r�� Enginecrs'���� 0��/���/7V <br /> �� ��J Waler � .- :a<_.� . �; _ -' , <br /> �s/_/_l�Gt� � /� /_=G'C-�/t��/L%,ci✓.�/��Ti,,ti j Streef . )� �4 � � . )f'' <br /> Communications T�Z-�Y:-...�-t�.-" � , <br /> 7raffic `(�� �. ��, " � � ' <br /> �Planning a `. /�1 i�, � — <br /> PH1ZK p h'EC <br /> -- - <br /> --- <br /> �7r.: h�e��i; . ;1�; — .�;,�. -- <br /> . _ . . . . ..: ��.. <br /> ri <br /> f��riti�f,-�.: �..(��E_�. � <br /> ���� � � . i °'ilii.� li ' .., . r. <br /> _'i {�i;;tiS �'.'I.-.''� <br /> c��i,s'trucfion is st..ricr� <br /> J <br />
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