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+ � �—' Dore Appio+ri <br /> The Undersigned l e '•.rre -- <br /> Herebyappliesforpermissionta �oN • � aue �' A �ove.aelE STAlf3 CA � L' %"1,a t � � r l� haN � 3 � ou� <br /> ,�� To G�7Y I�- fra� ea ��' j <br /> At the following localion ° 1 ' B RO A D \vA� �I bC � 3 F+ L.a �' S IG� !^ I <br /> 'RROAI� \v.av �.ATJd C�^ 15T ADDIT► � � � <br /> SKETCH I <br /> fWork to be donei <br /> ff (`t P <br /> �„� 4�, \ �� I � .....�., <br /> --- Z , . <br /> Mlh Paoposed CoNc�a�fe <br /> F7i1M P � 3' oN <br /> 3 Ci+Y Pr+oraA tY <br /> � -------- <br /> � Nor rn <br /> � � Scale <br /> � }j 1�11 I� I illl lil i„ , i `- - — <br /> � � kN � " ' �i� , ii i� �� i i� i�i <br /> � � <br /> , <br /> � � � -�-- - - - - - -, „ „ �_- � <br /> � �� ;_. „ <br /> ��� � i � <br /> � �. ���� i i <br /> a• <br /> M _� i .._.._�__ ��. —� ' <br /> �z 't•%� �— 'u' �- 5'–'� <br /> - - � �� �--- �'� '-'I �Y <br /> B Ro�o��AY T;M <br /> Thc undersigned ownen c�reby agrees to hold and savc harmless Ihe Ciry of Variance Required <br /> Everett (rom any and all claims (or damages thot may arise because of Ihe Yes .__._......__._..... <br /> installation and mointenancc of the improvemenl hereto applicd {or and No._ .. <br /> ..... .__. ..__.... <br /> further a�rees lo remove same upon no�ice from the City and fo replace all <br /> public properly damaged ihcreby. <br /> i}�j��f'i D � <br /> ,��w,�� x..��ts Z' <br /> " Signolure ol Applicanf <br /> ,., �a 3� ���o�rwp�, <br /> � aad�e„ <br /> . ,q� 9 Si9/ <br /> ielephone IJumber <br /> 3- 3 — 69 <br /> ' �� --- � ' /,� ua�e <br /> �2-xr-->f�, .:{, . _ Y. <br /> �Inspecfor9'Signalure ` a N o rv r- <br /> Fee <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Enginecy�.�� <br /> Water t � 41� � � <br /> Strect �— <br /> i,� <br /> Communicatio �, <br /> Traffic ' <br /> Planning ��" S"�-. ��c 'P <br />