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The Untlersigned � . ' � <br /> He.ebV �pplies for permissian to _---��� __- __-_'�_—� _�__-� , _ � ,�� . � —_ <br /> At tlie following Iceation / i �- �, ` :-_�_�,_,.J, , �� , ( '-- <br /> SKE7CH — - <br /> (WorM to be donei <br /> � <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the Ciry of Evcrett from any and all <br /> � ___ _ � claims for dama9es ihat may arise because of installa� <br /> I" LIP lion and maintenance of the improvement hemto <br /> �30'+_ . __. . �;�•• � applieA for and turiher ae�rees to rrmuve same upon <br /> �1 notice from the City and to repiace publir, property <br /> damaged thereby. .� � <br /> � i " � L. _,'1 .1� --":i- <br /> 9ignawre o}qppiicant <br /> „� � � <br /> I COPY OF THI$ APPLICl�iION !�1 i Addre�s '�it�'�. .�;./;' � /:��� -" <br /> � n� � 0[ POSTFDONJOBSI7[. , � i ��. �- - - ,lq'�-'7s�-'; <br /> I CALL FNGWEZflING DEPT. 259�Aft11 �� <br /> Telephor,e Number �--�� <br /> I� "!A HOURS [3EFOfl[ CONSIRUCTION�I Dare -- ----�----------� <br /> --- � <br /> CHECK UST ---�---�---- - <br /> Fee - ____-.___—_-__.__ <br /> Nater Valve <br /> Drainage Dept. Approvels <br /> Curb&Gutter Engineers_ <br /> SiAewalk ----"--------- <br /> --- Watcr <br /> Strr.et <br /> ` Communications <br /> Inspect s ignature � �� Traffic <br /> o _ _ <br /> ���P/� ' � 9 Planning_ _ <br /> �SIr - ---- <br /> ------ --- <br /> _- __ __ --- <br /> Remarks __ <br /> .� .L � i .�. - . <br /> � <br /> APVroved by ��:r,'.t--.^ , i <br /> — �. .l 'i ./�.S__� �� y,`' <br /> _ . , . , � . . , Datc Approved , - � � ' 0 <br />