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4704 GLENHAVEN DR 2016-01-01 MF Import
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4704 GLENHAVEN DR 2016-01-01 MF Import
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Last modified
2/11/2017 4:17:55 PM
Creation date
2/11/2017 4:17:50 PM
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Template:
Address Document
Street Name
GLENHAVEN DR
Street Number
4704
Imported From Microfiche
Yes
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tVtl:tl I, WASN. A oved By <br /> �'� �' � �.� , \� ��e, 1Q1.,4 <br /> The Undersigned �_�� � � �'/� �_�i'_�i f� Dore Approved �� <br /> h�reby applies for permission to � �-' 'G/. ��1 � /��i": , '/r. ��/"'/-.`.'i f�1.,!J.f f <br /> i . — <br /> • E�i ti /' <br /> At fhe foliowing location �l !-�„ • /''.�,' � � ✓'y •y,.� --�c�. 7,�'-r^ _ <br /> .,,_.,,,,,.......+. _:-_ _ _,,.. <br /> SKETCH • �� <br /> IWork to be done) � <br /> �� <br /> ° ;._ -r � � Q �a <br /> �, �, , .� , <br /> ��..,�,'r`K "lii'H WATER � ( I �� o � C._ �:��. �.' ' . , .'i� .' <br /> L ' �. � ,R �''�TfR I IP1E � �n� o,o <br /> Lt`r,t.� �� _"'.'I�iIOPi ' �jj \ ,o n _J <br /> D <br /> i � \ �-' <br /> -- -- �_-_- � \ ��- �'c� <br /> ,... �� <br /> _ � u;; m C�;�. <br /> _,; DRAIiJAGE I � N <br /> I � <br /> I � �r <br /> ,� � �f <br /> � � , . :_ . <br /> �I I ` <br /> --------_ -- <br /> _ .:-.-•-- � • <br /> � -- -- I y '� <br /> ----_ _ � <br /> P <br /> i � ' <br /> . I '� <br /> ' I <br /> The undersigced owner hereby agrees �o hold and save harmless the City of � Variance Required <br /> Everett irom any ond all claims far damages that may arise because of Ihe <br /> Ycs_ .. _...... . . <br /> installation and maintenancc o( the improvemenl hcreto applied for and Na <br /> furlher agrees lo remove same opon notice irom the Ci1y ai�d to replace all �--�����-�-�--���--"'-��-� <br /> public praperty damaged thereby. <br /> V A�f` �b CC�.t'PbL'F�7/Cri/ <br /> G�'+'2 ��D J r Al <br /> S��gnafurn of Applicont <br /> y; 3`¢/L Fl�.t'O �L, c. �C✓i.f: 'c J`T <br /> �• �'/4 CC/�nt� !� . <br /> �`'• ddd���� <br /> 33�� i� � <br /> Teiephone vmber <br /> l //'7 �_ ;; <br /> :�� . �.�. ti—' � . � Dale <br /> Inspeclois �nature � 5 ���� r7 �— <br /> r�.���j Fee . ' . - . . <br /> Dde � - / / :�� � `� <br /> DEPT. APPROVALS <br /> Ramarks <br /> i <br /> Enginccrs ` w\ <br /> Walcr � � t .'�,�' ^ 1 -, <br /> $Irect <br /> Communimtions / ���'�� -���-'` <br /> Tra(fic <br /> — Planning <br />
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