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APPLICATION FOR DRIVEWAY PERMIT <br />permission to C n a S-r n 1 )7— \ I J, A s P N AT 1> its <br />�305- Fig wmr D P1 <br />n <br />2 <br />S TAT <br />S <br />Q� <br />) <br />hereby agrees to hold and save harmless the City of <br />all claims for damages that may arise because of the <br />enance of the improvement hereto applied for and <br />ive some upon notice from the City and to replace all <br />ied thereby. <br />y_ 51<CTI0P• — <br />� s-c A*J <br />H3 <br />FIRYA'OOD <br />PL <br />everett <br />�e <br />- Approved By <br />( --e>3: /— v <br />Date Approved <br />44 <br />ZI 5 <br />Variance Required <br />I <br />7 Y'Nil �/• I./'Ii1C�O� <br />Signature of Applicant <br />Address <br />qaa- <br />Telephone Number <br />Dare Tp y2 �p <br />$ , 6),Lf�, ,AID, <br />3564 Fee <br />