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<br /> Permit No. _.--�.._�_'/___
<br /> everett
<br /> APPLICATION FOR DRIVEWAY PERMIT
<br /> CITY ENGINEERS —�� ���,^,--�
<br /> EVERETT, WASH. -' Approved By
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<br /> Dale Approved
<br /> The Undersigned ' ��' ' ��' � �� 1 �
<br /> Hereby applies for permission fo � o r� -1"F � �"i /�, 1 y� D�1^/ �C/RB � �JTlE�'- � �ANT�R�
<br /> Af the following locotion -' ` 3� ` ' L fs' V ad�.
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<br /> Thc undersigned owncr hereby agrees to hold and save harmless the City of Variancc Required
<br /> Everett 1rom any and all daims ior damages thal moy arisc becouse of the �pST. A�R JAL`JE- Yes. ._ ..___._ _._....
<br /> inslallalion ond maiMenancc o( Ihe improvemeM hereto applied for and GN�ryg��. �.��q7 ;,r, No _. . .. _.. ...
<br /> further agrees to remove same opon notice from Ihe City and ro replace all 7�h7'i%9rrp rc ,-r;_�,;r:
<br /> public property damaged �hereby. ='� � � nfiAic. ATincar:��. ;
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<br /> Dale � a t�'
<br /> DEPi. APPROVAL
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