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- - - ) <br /> �':' ,.- � P <br /> Permit No. � _�....__'�. QVE'.Ce� <br /> APPLICATIO�v FOR DRIVEWAY PERMIT <br /> CITY [NGIN,iERS / <br /> _ ��` <br /> EVEf,ETT, WASH. Approved By <br /> � ���v � � <br /> The l�ndersigned�p Y � V'A N L� h/E S Dme A.pproved <br /> Hcreby applies for permission lo O h�S TYu G r ��D T007 d Y l V e (.JC!C./ �Y1�f'c7t/C �_�r G 6t � <br /> _ c��I f)C_��fl t' 7!'L� �-t/'G�c��' <br /> A1 the following bcation �9� '�`' � a Q U �DQ v _ <br /> SKETCH <br /> IWork to bc donel <br /> � j� �5914 <br /> ' � --� l,, PROPOSE� qSP�fqLT <br /> zp ' DR1vEWAY <br /> f6' <br /> 74, � <br /> 18�3 <br /> � CA�Y Rq, <br /> � ��-• PROP05r_D As �M��'r <br /> � P,�tv�nl C: <br /> N <br /> ti <br /> x <br /> W <br /> 4 <br /> The undcrsigned owner hereby agrees la hold and savc harmless ihe City of Variance Required <br /> Everell from any and all claims lor damages thot may arise because of Ihe Yes .. <br /> in�tallalion and mainlenancc of Ihc improvemenl hereto applied lor and No . <br /> (urlher agrees lo remove same upon no�ice fram Ihe Ci'y and to replace all <br /> public proper�r damaged ihereby. <br /> x `J r,".�., _,f.: , n .. , .� a.� <br /> �,.j Signalure ol Appliya f <br /> Syl� C�, �� �.r�_ <br /> add��„ <br /> � <br /> � 353 - '-f ��l �• <br /> � i � I -� ielephane Number <br /> � ' �1P� � �. 2S �' � 7L <br /> �' Dn!e <br /> O� <br /> Impacfor'i Signaiure ��fj�D ._ <br /> /�/7t Fee <br /> 5�T.E cJ i�1Cc.CcU � ' . <br /> Dofe <br /> DEPT. APPKOVALS <br /> .� , _ ' <br /> ^' `3,v ' � <br /> Nemorkt Enginccrs ' ` <br /> Waler %- 7 <br /> - L <br /> Sti:et � <br /> i <br /> C.onnnunicolions ._ _ _. - <br />