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` -- -- <br /> The Unde�signed--- !"-� ' `"� ��✓ , f" ��� -=� • Dale Approved <br /> Hereby applies for permission to �`' `- �°'�«-� -���1 C.2=,-r= G' " =' �i� -'�. '�� 1 J"' '� <br /> � <br /> �fL�Dc�`�, <br /> At the following Iocation � � -`' = I �' �7�-` ' }t-�-�f <br /> SKETCH <br /> IWork to be donel <br /> ije <br /> � <br /> X..�t. � . T� <br /> � <br /> 1 3 <br /> — --- - --- n <br /> � <br /> _ � � <br /> ,�EROKEN CURGi � <br /> � S\bf�VJqL1��-�-p r�F. <br /> ��F' i f-{ S-r/ (�BP�ncf�� •,.� ;� �} <br /> COrJc_I�r-r;- . <br /> The undcrsigned owner hereby agrees to hold and sove harmless the City oF Voriance Required <br /> Evere�t from any and all claims for damages thal may arise because of Ihe Yes <br /> .__._.. _._.. .. ._... <br /> inslallation and moinlenance of the improvemenl hernro opplied for and No.......__. <br /> luriher agrees ro removc same upon notice (rom fhe City ond lo ieplate all -�-� ��-�-�---� <br /> public property domaged Ihereby. <br /> PAci�ic i�cc — - -- <br /> DRIVEWAY SECTION ,� p <br /> NO SCALE / `� BriL�t,u� S.w�. Co. "✓D <br /> �- � � � � � � Signafure of Applicanf <br /> „ .�r� <br /> '��� P.v. �.r iro7 <br /> ada,e,� <br /> 30" ,r'� '�^"'�� 30" <br /> �� ,2s 9- 4,�5 9 <br /> �'^�� Telephone Number <br /> ,� <br /> �- M�vrtch /.5; /9 73 <br /> � <br /> \� '�i� � ,1 ' � � 1� Dafe <br /> .,� <br /> Inspxfor's Signalure �� $ N 2 y �C'L <br /> 5/� C/-��c Kc D 3-19-73 f��c.� o l� �--�G. Fee <br /> Dole '>-1 S-7 3 <br /> DEPT. APPR VALS <br /> Remarkt Engineers '3-�g-i 3 <br /> .-Y Waler '3-:(� - 7 > <br /> , Sfreef ��'�. "-3 -.'6 - 7 3 <br /> - ' Communicalions � � ,z_1�,%,',_.�z_� <br /> -��l Trcffic ��'S-,%9�- 7-r: <br /> _ Planning ". �; " ' ' '- "' ' <br /> ,. -- — ---_, � . <br /> . _-- --� �-j �,(� � �i'1 � i'� '?%�".i_ ' � , , <br /> i <br /> / * �O� � '� . � '��'� �(�1r�ILL" f�i( � _ _ . . - . . , <br /> Call Engineering Dept. 2�7 3813 CHECK WITH l^/ATER � Pf20PER DRAINA�� <br /> 24 Hourg betore U�PT. fOR LVAT[R LINE ' <br /> i, <br /> ' Eonstruct��`' ��AT�ONS B�FORE EXCAVATION � _ - `i--� . <br /> �started. <br /> 1 :; <br /> 4QIi nem+(�. <br />