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Permi; No. ��.....`.4C�� <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � <br /> CITY ENGINEERS � � � <br /> EVEREIT, WASH. Approved By <br /> s= 7- �'f/ <br /> The Undersigned G ��� ( —�� �`�� t' Daie Approved <br /> Hereby applies for permission to L-��«�rt � A 21 � (1L� � D� �'OIJG � l��v�V�)�1 y <br /> At the following location_2—� � �f) R��T� i�V�� �� . <br /> Lo7 / /..>` <br /> SKETCH <br /> IN:ork to be donel '— <br /> / ��, <br /> 27 ( � <br /> � <br /> u�o <br /> S�q�E <br /> - - - - ._._ .�... <br /> � � �1 ' <br /> , <br /> _. __ ,_ , `�- �; tl <br /> .,.,� .�__. , . _ e...�. <br /> ���I�ES�t �/ ��:1..� _, ,-- • <br /> The undcrsigned owner hereby agrees lo hold and save ha;mless the City of Variance Required <br /> Evereti from any and all daims for damages fhat may arise because of �he Yes__. ..__...._. ._..... <br /> installation and maiNenance of the improvement herelo applied (or and No.._. ....._ .___..... <br /> further agrees io remove same upon nmice from Ihe City and to replace all <br /> public property damaged there6y. <br /> i.. <br /> DRIVEWAY SECTION - � � <br /> NO SCALE� Signalure of Applicanf <br /> � ( <br /> - � - - _ _ �. - � - <br /> ,_ ,: <br /> _� I�� LIP Address <br /> I30��� 30" _ , - ',; " <br /> �' <br /> ielephone Number <br /> .-=i "' , <br /> 'Dafe <br /> "V �'�_.. ��_ .J�/�7 _ I <br />