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�/ �� <br />Permit �:o. ...�1�:� -/..._....... <br />APPLICATfON FOR DRIVEWAY PERMIT <br />CITY EtJGINCERS <br />EVERETT, �NASH. <br />Th? Undersig <br />e��eretf <br />, <br />�r��� �/. <br />�-;� �,,r�zi r — <br />Approved By <br />Y�/IGL�.S'i � ��7� <br />Date Approved <br />Hereby applies for permission to�ll/�:S'%. I! 2 S� .n�r� i � n { fj TG/��u ,_�1 �y ti/t ,(�f�) <br />'--� <br />At the following location ���—Cc i 1 c' V'�Qr� l� (J, �Q U <br />SKETCH <br />(Work to be donel <br />G oiv� �: .�ET� Cv%e <3 <br />�— �etn1 I G1 �` .��� TYP�- � <br />� b �` 560o G6�6 ,'' <br />\ � 9 St". i<6 i <br />�= a� <br />� ��uP B <br />� _ ,�d... '�w' 17 <br />! `� �--- <br />; �I ��1%S7i,(iG <br />_---�� �Nw���,Jn,,s'�', I <br />c.Ue �t ��TE <br />� � F�°"'e" P�(� ---- <br />_' �'�^'��ET,- <br />�.l)' ?'J�'oE �� . C'< <br />The undersigned owner hereby agrees lo hold and save harmless the Cily of <br />Everelt from any and all claims for damages that moy arise 6ecaure r.� the <br />installation and mainlenance of fhe improve.menl herelo applied fcr und <br />(urlhar agrees to remove same upon notice from the City ond to reploce all <br />public property damaged there6y. <br />V_fc WA't. -:. S EC <br />(icJU.'-" SC AL i;,' ) <br />�S,• I _j V <br />C.�rs� 1`' ....��. . �-� ������� � <br />.��.� .. ' <br />� � � � i i n <br />+- .�_' <br />. �_fY ..�_..__.�...�___�.._..._. <br />'l i <br />yi•'� '_ <br />,� <br />�- ���--' <br />/��_ �0� <br />Variance Required <br />Ycs. _. _........ <br />No...__. .. <br />_`%C�,/.. ' �/-. <br />� SrgnaNre ul Applic�inf <br />� /(��L� ��:�/: i��,' i/ �. <br />Address <br />�.> �/- l'[:( • <br />Telephone Num6er <br />; <br />_ � --�/ --- ---. . <br />