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� � "� i' <br />, --- , <br />r�„ , � __, . <br />, WASH. <br />APPLICATION FOR DRIVEWAY PERMIT <br />. �� . . . . - , . <br />i� <br />everett <br />�J <br />� �i ' <br />P.PPrevcd 9Y <br />� <br />Da�e Approved <br />opplies for perm�-sion to��/� S i� �j / ,= frr, -j' � ,v�, � Jc.��J�-� � _��i�' ! `� <br />"'� "TyiG <br />lowing locotion <br />be donel <br />� <br />�3 �� ST,eEET <br />� <br />�z�s <br />igned owner hereby agrees lo hold and save harmless tne Cily of <br />m any and all claims for damoges thol may arise because ol ihe <br />and maintenance o( the improvement hereto opplied for and <br />ees lo remove same upon nolice from the City and to replece all <br />:rty damaged thereby. <br />..�gnalure <br />� �) 'S � , � <br />�-,Lt�._ <br />I <br />. <br />/�� � . <br />=CE,fJA,E' <br />Posr� ,ecpA �,� <br />/ <br />/ <br />{C,.. <br />i . . <br />FENc:�=, � ' .�/�aN <br />Variance Required <br />Ycs.._ .___..__...._... <br />No._... ..._. .._..__.. <br />. � � <br />; � "� , o l,. , � .. <br />r- <br />� Signafure ol Applimnf � <br />r <br />� � ' � �0�.! ;il„ � <br />. , � <br />Address <br />i ' `�' <br />� / %i ) :� <br />.Telephone,Number <br />r— / � i � `; <br />rY � (l �' <br />% Dole <br />E <br />Fcc <br />DFPT. APPROVP.LS <br />/`h %. <br />Engincers"—� � ' � `� �'� <br />���� <br />Watcr i�� .-J� i . <br />l. . f , <br />$t�rtP! _ . ._ . _ ' - ' <br />f�_�.._:__i_ - __--_ `_ .. ___ _ <br />