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EVEReTT, WAJH. Approved ay <br /> : �1�- . - �;� .- -_ <br /> ; � �`, ` � � . '`'� ,=.. i.`, � �� Dale Approved <br /> 7he Undersigned <br /> Hereby applies for permission lo '`—"' �`� �� �" C ` `:, '`+ ' , � _ � � �. �� �_ � f <br /> At the following location—' q �� ` ' � '� �'� �-l� <br /> SKETCH <br /> (Work to be done! <br /> �/ �� <br /> r����l�utt��z i,v st/�' , ' ' ,� Ty�" J <br /> ,vvTc: siGN 1� ?�• 2 x � � <br /> ��st 5� fj1��� �� ' ,�"N �6'�GTii�. S /6�� Tc i3 � <br /> � � <br /> �17M� p/ATL �/ �i/G.e'/� G F �%�`�'R:. t�//iy f�/`�/� �;�:�♦;./�vs/ � <br /> I�/� S% cl;; ���� <br /> L�/ �<L CJF' J3ui«, /- ., S/G !✓ /� Tc� �.c I <br /> Ao�c' 7'�f�l-F_ � To !6E t?E/�/GUk=A � t/6�2 % .v�G/�T <br /> - cc,t, .c3Y .�1 v�. - _ � -- -- ---- <br /> - �'/w � <br /> ��' �� =�� _ � -`� __ _, _� " '_ �- �''� � �-� N 1�� <br /> , ! <br /> 3 � <br /> x __ __.. -- -��- - -- <br /> - _ _ --- - <br /> -- -- - <br /> ------- - �F��� �.1 ' I <br /> �� - � <br /> ;, �. <br /> i `�.� Z�i 35 � �a �f3 �' <br /> I <br /> The undenigned o.vncr heieby agrees to hold and savc :'�armless the City of �'J � Variance Required / <br /> Evcrelt (rom any and a�l daims for dmr�ages Ihot mny a�ise becausc of ihc �� ,��� Yes . � .. <br /> ins�allation and moinlenancc of Ihe improvcmcnl hcreto applied for ond � ��1 No . <br /> fur�her agrees to remove :ane upon nc'ice (rom Ihe Cily and m replace all / � �r; � �l.j � � � -� - - <br /> public property domaged thcreby. / � " / � � <br /> C� ��J � �,;" <br /> DRIVEWAY SECTION ��/ � /� V "" �1`j ��' �I �1` �� <br /> NO SCALE '� �VI � _ �� '� '�'Q`-{-�- <br /> � 3 Signa�u�e ol Applicanl <br /> I~— — AIor � � � `� � q 3 s �_�:�,�-�— <br /> � + I" LIP _ IV �� Address <br /> �-30��- --�--30-� ��� LoS- 63t�as � - � �- .� Y. <br /> ielephonc Number <br /> G <br /> ,- ��c . � <br /> M�, ��' a9 ��r�'�-� ?4 <br /> �/A �'LMC � � �l'1 ��� / Dale � <br /> Incpeclor'i SignoWre /"�) QI�;I�E / �)IY-i" s �U :�PJ <br /> '�7 1 f/ E��' - -- !' )- ;'� <br /> ���r� �iT+GC �E�� �E7�T �C,• �'f Fee <br /> Dole <br /> ��OL/C�T/�� �(/O% � �S/ ��' DEPT. APPROVALS <br /> � ����� <br /> Remar r Engmecrs � <br /> /�'�f�� �./� ) ��/,C� � Waler � r(��� � �l ' <br /> L� � �_�3�1c�� , . �. . �, �n = <br /> /�/ U��l�f � �_� � � � Slreel ' <br /> � Communicalions- - � ��' <br /> .c Tmffic ��. , <br /> Planning <br /> i . . . , _,� . [, .�..... � � , <br /> Call Engineerinq Dep;. ; �" > ��•r� PROVIDE FOR � <br /> 2� Nours I�_tr,r�� CHECK WITH WATER PROPER DRAINAGE <br /> consiruction is ( �I DC:PT fOR lh'A7ER LINF <br /> �'.�alpra i i_ ;'��l� �.�., p.- = r.�."n'dni�in�.. --�� � � � . <br /> y' ,,�:�..�. <br />