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. �- <br />,._..) 1�-. % �� ;t <br />Permit No. .... ... ........� : � <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />V `' <br />CITY ENGINEERS � <br />EVERETf, WASH. proved ey <br />�. / / �/ � l�ovembzr 3, l � l��t <br />The Undersigned �� �L- J�� / J�� /�/' %� DarE App�oved <br />r <br />Hereby applies for permission to ��' � ,% � "/ J � �%���� �LrF `� � ��' <br />SKETCH <br />IWr.�k to be done) <br />G�/��C. /�e, <br />13 <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Evererl from any and all claims for damages �hat may arise because of Ihe <br />installafion and maintenance of the improvement herelo applied for and <br />furlher agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />,� ._j._ �/;. <br />. , , ��I �/I / . <br />2� <br />:��''� � . <br />2� <br />'L'I <br />,� �� <br />.-rr; <br />Variance Required <br />Ycs.....__.......__....... <br />No _ .. _ ...................... <br />: J �' ` <br />� (�YCo2 L.��•�� =�'• <br />'' � � � <br />., ��q// f�NC.r'�F��%� � ' <br />.,.• � U2.Ctl-`E-�&7-�-- <br />�, � <br />��`"i �_ � , �'--�- -� 'f ,.�2��.� <br />—"" Signalure o( Applicanf � <br />C <br />i.i/?� ,�r"7)�r. �g� <br />Address <br />.3:�3- g��3.� <br />Telephone Number <br />_.�� "' 'cS '— 7 C� " `-+ `� <br />_. . .., i . _.�.._ _. .. _. ' Dafe <br />