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/J� . <br />_.. <br />Permi� No. ✓ �~ � � <br />................:............... <br />l <br />� <br />APPLIC�TION FC�R DRIVEWAY PEfZMIT <br />CIT1' ENGINEERS <br />EVERFTT, WASH. <br />The Undersigned� � G �� <br />Hereby ap��lies for permission to.�/��5'T � L <br />At the following lototion___LZ`' !G � <br />SKETCH <br />IWork to be done) <br />U <br />�� <br />� <br />7� / ��-r',aw s 7�F <br />/ <br />'---- �..qslllo kf> — — <br />J��� \\�:i 1\\\\\jr\�= <br />I•; 'S• � ` � VV'J �6• .. <br />� �I31N"/"'d � i � , � <br />sya� : � <br />r�XlfCa G o % / � <br />� Srp�ON / ���, . / <br />/ <br />Thc indcrsigned owner hereby agrces lo hold and save harmless �the City of <br />�verel from any and all claims for damages Ihaf may arise because of Ihe <br />insmllution and maintenance of the improvemenl hereto opplicd (or and <br />furlhc� ogmes to remove same upon notice from the City and b replace all <br />public property dama�ed Ihcreby. <br />f'WeCf'� <br />r �`�, <br />i /- : ;i <br />�" Approved By <br />r�r� iG',' /�7� <br />Datc Approved <br />/ � <br /></_'_. <br />NO sc„�E, <br />Variance Required <br />Yes_._ ....._ .............. <br />No__.._......._....._ . . <br />��41�� (1. /V 4 ���� <br />I /l (, � i -� �� <br />. � t } '�i _ �ij' i <br />'� � � � �,,�, ,r>r'� <br />� Signafure of Applicont <br />��3 /:H��(� _ ;'1L�. /l- .��'liiCc� <br />Address ' <br />-.�-' - :':'/,7 <br />7elephone Num6er <br />