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SKETC;-i r <br />IWork to' �e donel l.��'�'L�` "zs': :' \ <br />��c,n_`,• /��=..?G' <br />L�'A5E'D FR•�//f G'%:�UF <br />�,,., .or_ �o �., � v � � <br />c� G � <br />---�___ �95.d,y%4C G/ <br />�dz?�d T .OiP/C/� ��i/ ;ii L %%� �'e/L "� � A �`` � %f/ <br />� / �� 3r 5' -�_ / � S�/,�UPS \ <br />L �/�����` �V <br />The undersigned owner hereby ngrces lo hold and save harmless thc Cily o( <br />Everett irom any and all claims for damages thal may arise because of Ihe <br />installation and mair.fenance of Ihe improvemenl hereto applied for and <br />furlher agrees 10 remove same upon nolice {rom Ihe Cify and to replace a�l <br />pu6lic properly damaged thcreby. <br />� �;3.l�Ews,Y..�:__S�CTtoN <br />(-3�R7. =�-SCALE � <br />�o'" . � �„ <br />�� I G� <br />�--------- <br />Inspeclor's Signaluie <br />SIT/�' C/��C.�_F� �/�D <br />Dale <br />G .! �. _ ; ""���. <br />---= - T , ;. <br />�� � <br />�?�.. <br />. <br />Jv•+ - <br />�RIVE�VAY�_ SECTlON.:_: <br />�I ' �- -- ,� <br />`�"'J?n� - '�'— <br />{' I M/e3 =�.. <br />��!f <br />��1a r . <br />SPf/q [ T O�,/ (/� wA <br />Variance Reqvired <br />Yes............................ <br />No............................ <br />--�-t�� l��j[ � i/�t�%:"'.�l-��Tti--._ <br />$ignalure o �Applicanf <br />� i• 7- <br />7 / /' %� <br />=/r<-l.^ ri ^ /d-"( '�G_LC-)�"�"_� <br />� . Address <br />� �� �- �/ �_� �1-��;� <br />, <br />jelepho� e Number <br />�J /r;- /'l �' <br />' �ar� <br />S G�S . �" -3 �� <br />Walcr.�,_`.L <br />(�MA�� SMeel'� <br />STRECT ��+++�+� <br />Planning <br />CEPT. <br />Fee <br />