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5107 FOWLER AVE 2016-01-01 MF Import
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5107 FOWLER AVE 2016-01-01 MF Import
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Last modified
2/11/2017 1:06:21 PM
Creation date
2/11/2017 1:06:14 PM
Metadata
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Template:
Address Document
Street Name
FOWLER AVE
Street Number
5107
Imported From Microfiche
Yes
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SKETCH — <br /> (Work to be donel <br /> __ I � y 1 <br /> �,�� �;,c��� ' �� �� <br /> � _ . l <br /> I t <br /> � <br /> ` <br /> � , <br /> \ i <br /> \ \ 11 <br /> � <br /> I {-�T 34 �' <br /> 1 I- '� <br /> _ _ 5 �sIA�WA�Ic S�cT, _--�� <br /> "—t � ��2F <br /> �JG T� ` �-, -�--,- ��.�r. <br /> Cr � iL�/,� llns _ � �' � -- '�,,. <br /> . ___,_ . <br /> - . <br /> � - --- <br /> /V — , ._ � <br /> � �- ...� , , �:�J.•n �q; '� i !—:�S"f ----- � -- _--�— � % <br /> .`�' . JU ,}��: , /w CURr3 �� GVTT�2, jYFEkt D <br /> , � ���T � <br /> � /� ... � _ � / <br /> �' ' <br /> . J Fo W[,� tL A�I'C -- - <br /> The undersigned owner hereby agrees lo hold and sove harmless the City of Variance Required <br /> Everett Irom ony and all claims for dcmages thal may arise because of Ihe <br /> Yes._.....______........ <br /> installaiion and mainlenance of the improvemenl hcreto applied for and No.........__...___...... <br /> iurther ogrec• to remove same upon noli:e from fhe City and lo replace all <br /> public properly damaged Ihereby. <br /> DRIVEWAY SECTION � !� /�/ <br /> NO SCAI�E '��ICKlI'..,/�1J��Z,r.l� � � <br /> � 2 5 � Signafure of Applicanl ( <br /> „ ,,, LIP .�.zn��- L�3/�� � . �`: . <br /> � 30 � � _30 I Address �,y,�, ���c�L G«) <br /> �' '�' '►' '1 � >`9 - `/�/5!� <br /> ielephone Number � <br /> �f i�. '�- .� - �3 <br /> Dafe � _ Z�>3 <br /> (��.���� S-:,2 - ��/ h:� . �, ; -� �l-�0 7 <br /> Inspector's Signofure ; /�2 � ��• � �` <br /> � <br /> 5/TE CFl�CKEp �- 9 -73 /� l Fee <br /> Dofe KCL.,n �� �.� ��tG <br /> � -Co- )3 <br /> � <br /> DEP APPROyALS � <br /> i <br /> � <br /> Remarks Engineers /�� ^ � �-Z�'�3 <br /> Waler �� � �'� ' <br /> S�reel - . l;z.,..�.,L i�._ <br /> Commfnicalions - �� <br /> imf(ic /1` `ij"il+rT./7//� � � <br /> Plannin�Z'�=���-7�J <br /> �.._ . .. - - - � ---- -- i <br /> ;� . .; �. �.. _ ;, ' <br /> �;�I! C��� �iuzzr�ing DepL Z�9�b3{d " IVOTE P;;Cr ci2 GRhli�.h;�E <br /> 21 Hours before CHFCK WITH WATER <br /> � !r��flun Is K'Zted. ,'�7. FOR WATER LINE \ <br /> 1 _ � . . ..,.... _ nr.r.n!�L EX�/�\�nT�� -.,,.,�..�n � T <br /> AKO+��. <br /> �q� �� J <br />
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