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i> ? � I� <br /> ^ � 1 � <br /> Permit No,-' I _.!. _ _ _ eV<-_rett <br /> APPLICATION FaR DRIVEWAY PERMIT <br /> CITY ENGINEERS �' <br /> [VERETT, WASH. proved By <br /> �'la�l t ` ��o� <br /> f � ,r.�� ;''C�(- —S Dale Appwved <br /> The Under.igced.--,'f;C.. �— � y �` � <br /> Hereby applies for permissian fo /^/"J J/�l�'= T A —�—���L_�"���� ��'������� � - <br /> .. ��UN�:/TF. T.=._ i�,Jsl t/Es G�/N � - <br /> At the following locetion_._..�Q�-1� �L��• � �E'•� r �� � �Li�'✓r57�✓� <br /> �f 'h'A-�� � �-�� -�'���--�'< � 3i`/ '��'� �� - <br /> 7�' � <br /> SKETCH � <br /> IWork to be donel � � <br /> i . _ <br /> ' �`1 , <br /> � <br /> � <br /> i;('�' � ;L��� i�%i� Iri� r.�rJ���. -- — �,� 7 _ <br /> r��=�S.-�F,'�' ----�- f' <br /> ----- _/f V- / <br /> _.. <br /> � �� �J MJ � <br /> � � ; � �. <br /> f�Q p� <br /> ��1 - <br /> � <br /> � a <br /> '�i <br /> �� h <br /> ��� 1� . �� 'f <br /> 1� � <br /> - 1q <br /> �s:�,. <br /> — - --------_ <br /> Thc undersigned owncr hr�eby agrces �o hold and save harmlen �he Ci�y of Variance Required <br /> Evcretl from any and all doims lor damage: tha� may arisc b�causc of Ihc Ym . <br /> inslallalion and moiNernn:c of the improvrment hereto applicd Inr and N� <br /> lurlher agrees lo remove same uFon no'Ice from Ihe Cily and lo replace nll <br /> public property dac.aged fhereby. <br /> i <br /> $ignalure o1 Apnlimnl <br /> 7 ' _ <br /> ..•• Add�ess <br /> n <br /> Telephone Numher <br /> � , <br /> , Dalc <br /> " i .7 !'�w, "t' � _ , f�_�. , . <br /> InspeUor's� ignafure � $ % �- _ <br /> � ' F'ec ', ��.�,� <br /> � P. <br /> f.� �,. .�'G: % —_— f-�:� ' � , - r <br /> Dafe—� � � � . <br /> DEPT. APPRO'/.4L5 <br /> Rcrnorks Enginecrs <br /> Water ` <br /> _ _ Slrcef � _ <br /> Cnr�mvnira�inns "�..' fi .. ��— � �—'— <br />