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� <br /> i� <br /> `� . <br /> l _ � <br /> 1 <br /> ��'%� '. <br /> i� -�/. 1 <br /> / <br /> � <br /> I � / <br /> ' _�._I,_ _ . _.. . . � " ��� 'J \ <br /> � i �' � 1/. <br /> ; I , �' ..J. �—_ . <br /> �fri _ � � � <br /> � N i <br /> \ ./` <br /> 1.) I y \ � v'�J �� <br /> Variance Required <br /> Th.; undcrsigned owner herc6y agrees to hold and save hmmless thc Cily of Yes_... <br /> Everett from any and oll daims for damages that may arise because of the No . <br /> installation and maintenance cf ihe improvement herclo applied for and � �-----��--���� <br /> furiher agrees lo remove same vpon notice from ihe Ciry a�d to replace all <br /> pu6lic property domaged ihcreby. <br /> _ . t- .. ., .� i_. . . / � . <br /> i - <br /> . � � ' <br /> v!` <br /> c / < <br /> Signalum of'Applicant <br /> �. � : �.�, :% .� -(� <br /> Address <br /> -_ '-� -� ��� %� • <br /> ielephone Number <br /> i <br /> / L j( �i <br /> � -- Dafc <br /> �;� < < <br /> , ��i ��L�r� � C�^J�f [ � ._ - <br /> Inspedor.'s�Signafure / 9 /' ' �—�, � <br /> Fee <br /> �(.//-' // <br /> Dafe <br /> DEPT. APPROVALS <br /> ' � � � � <br /> Engineers �� �•";'� `�"��"�"' � <br /> Remarks ( <br /> Water <br /> Streel <br /> Communicalions � � ��7�� �� � <br /> Twf(ic <br /> _ Planninc� <br /> •� � . . . �._ . _ -- _ . <br />