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, . <br /> Pe��n�r r,o. . = �_�-:.:..:.::::. ' everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINFERS <br /> EVERETT, WASH. roved ey <br /> au 1� . 14(04 <br /> The Unde�:igned /� �=�, � . '� ' Da�c Approved <br /> - ' ' �.: <br /> Hereby applies for permission to . '�%���' - � i� '�" <br /> ,r . � ,/� <br /> At the (ollowing lacafion ' - <br /> % �.__�__....__�---------___.....___._..._... <br /> SKETCH <br /> IWork to be donel <br /> �-�, <br /> --�` � <br /> � _� n� . <br /> o, i <br /> ����� <br /> 1 "' " <br /> � 77 <br /> ? �D� 2✓ ` <br /> �, u <br /> � s � . <br /> d/OI ; .. .. . ... ! � . <br /> :J <br /> IA' � �p. <br /> � . <br /> � <br /> _______-_-.-___ _ _L.�2/+'.}O�C_ (.l.LO ��� <br /> '_7_"!;�.1`,��v) s'r�P�;.d�'- ,: -. JN• <br /> -�- ` Cs��-L �/�, \ <br /> / . . <br /> ,- _ ,'. _ _ . ... . , . I ,�/ /,.Y�.' � �.^- I .-- <br /> (i�/ {/ <br /> The undersigned owncr h�rcby agrees lo hold and save harmless Ihe City of Variancc Required <br /> Evcrelt from any and all tlaims for damages thol may arise because of Ihe Ycs <br /> ._. ....._....... ....... <br /> inslallalion and mainlenance of 1he improvement hereto applied for ❑nd No <br /> urlhcr agrees lo remove samc upon nohce rom thc Cily and to icplacc all �� �� <br /> public properfy damaged thereby. <br /> i <br /> // / f� <br /> (� 6.- �. � b'- ��f'�. �����/�C . Signalure o( ApplicoN . <br /> < � <br /> _ , i ,;�i. �.G'. _ <br /> Address <br /> n^� <br /> : � ielephone NuRber <br /> � <br /> -/ �� � <br /> Dnfe <br /> ��n `-s" J i.- ' �' <br /> Inspedor`i-Signafure � S <br /> / <br /> Fcc <br /> �-':7 <br />