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<br /> - cx1'Y OF ��c�n+c� � �1�i494�16 1 G125l�-79 �2:19 � :G3/12 N0:478
<br /> ?. �h'si�:z�5�r�r�ing�ays�4�uperstruct+�re retnt��et, �iSn�,I inspecti�ti �hall be requeated. ?'!•�e
<br /> site s�i�l� �c 1e��L�an and�c6sar af aiI dabri,, with �sry ex��vnti�n�Zi1rd w:th earth 18ve1 �,vith
<br /> th� adj$cent s,�r�3urd elevatiot� Eerc���t wl�en such e�:ca��Rtion is to bc�se� a�part of a n����
<br /> b�aifdizig and such r�ccR�t�uilding is�otua.11y undc; ca�nstruc�ion),
<br /> e. '��e un�ecai�ncci o�w�er sha11 anc� �e�r�by ds�e� 1:td�ann9tq �.�d 'n�►�d �t�3a�s the Caty of
<br /> €7ror.o, its age�xts, emnlc�y�s aMd aesi�s frcar� a.�sd egain.�t �l cl�ams, d�rn�es, losses ar
<br /> �c�sea�sea;�Tuc��ng�Ltr�i�i��£�+�s, dgt��t thc Ci'ty, its�ents, employ��s�nd assigns arising
<br /> �+u�t�'or t'�9ultirt$£rom�dera,�I�tio�.descn'bed h�rein �'pccforrr�ect by the prap�rty owner,
<br /> . i�+9�apl�y��s� t►ge�f3, au�c+ar�tc�ra or assi,gzss.
<br /> PS7�11�YIT'�'1�i'P�,�1�+T�?�E�ALCUX.,A"�'��AT
<br /> �-- �SO.�J�I-Psinci}�u.! �tct�cture
<br /> _,�,,,,,,,, S34.O�i�O» Acc,�t�sa;y 3ttu�t�re
<br /> 1, Subtotal ��'a�aw��perrnit r�gucsted S
<br /> �. Statz Surchus$e � $ -R��,,,
<br /> 3. ^fOTAI.P��II'T.1�,�.(at�,�I�iaoa 1-2 sbav�} �
<br /> The wndarsigr�ed h�r��y�►Ptics to�e�City ��°45rayno �'px agsuance c�f a D�r�'teliupn P�tmit, ��CCS t0
<br /> �t�811 Wbrk 3t!l�t1�1Ct g�ec+r��ce�.uit'�the esrdinari�a� ��the ��ty and t�;e�'8$ul8tioslS of ti`�e Statc of
<br /> l��itu�cs�,a�va.c�rtifiAa that ��t stat��ner,t�s�acic t��n�hi� ��►plic�,t�;�rs�r$ca�m�r��t�, �ruc and war.-ect.
<br /> ��` ��t.� (r'����'-
<br /> _ A�'P�:IC�►NT°►S�ICxl4'A�'CI�E:_,____—�ar���.,..-_.�,._....,.DAtB, ?��I 1 /'q�{
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<br /> OVV3�IER'S SY�ri�.4�"iJ�:� �' � :���-~ bate:,,�,- •= �
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<br /> �►FL'�i.aVEI1►BY:-- �, D�t�: I/-�s •q S
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