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i <br /> �f No. .3.3..�a..._3..---_ everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � <br /> ENGINEERS � c4 � - <br /> ETT, VNA$H. Approved By ` <br /> L /��/ � � JI � - 15' -70 <br /> Urldef5lgned � dO �.�ri v�er / .r'f-Se30G/ DL}�// I Dale Approved <br /> by applies for permission to—�� �)�moye ��� O� L'�� L�6u'b��) ,Z,�d fQ// �Q f��ot-.tiK� /Z�� <br /> i� �� nits o ' �pw�i ��1�.T��la.c� �O` o� %' '��cr� 6� . 1 � /97a,T�T.ci�.�' o <br /> e following location��� �wf� .e�oroa�h A7 /�St�I SO/L � FV�r�i��.n. m <br /> .. .. <br /> -i �n <br /> cH �, Norfh �, _ <br /> kto be donel o "' <br /> cv <br /> m o <br /> n <br /> -� c <br /> 0 3 <br /> m <br /> -� z <br /> x —1 <br /> m <br /> .. <br /> o z <br /> c <br /> a --� <br /> rx <br /> .� .� <br /> --i --1 �n <br /> -_-- < <br /> � <br /> 0 70 <br /> ' Gu-b Lc. . jurrt �>vraqt L.r�,t '��J'rdffi� Ia/,c.�.d ' � � <br /> _ <br /> m � <br /> N <br /> L= <br /> � _� -- � m <br /> C°uvd>n � <br /> bt remortd i m'^ <br /> �'�� .� m <br /> a <br /> � <br /> -a <br /> x <br /> A <br /> 2 <br /> �v,�r9r��� � <br /> _ <br /> N <br /> Z <br /> O <br /> t� � <br /> .,p m <br /> � eG/P--l�tsr..7�l G �/',LWi ✓ <br /> i <br /> dersigned owncr hereby agrees to hold ond save hormless tne Cily of Variancc Required <br /> from any and all claims for damages that may arisc because of thc Yes.... <br /> tion and maintenance of the improvement hereto applied ior and ��j No_._. <br /> agrees to remove same upon notice from ihe City ond ro mplace all -� ---�����-�-�����'-'-�-� <br /> property domaged Ihereby. �`�,'M <br /> �� <br /> �•. <br /> NQ %� � �� <br /> CU� /� $ignaWre o( Applimnt <br /> � "'" .c:�� i�;�/: !r'` ?/t L� TQ <br /> c� � U <br /> ;��L G� I//�JE �� N ,c� JE'-r'i��/c� TGv ��TC./,�'iy�/�lG L�S�,�E ` C� '�c' c�� <;�� n%�� <�<<� !���- <br /> ".� 'r� `j:%�..' � (="�' �i'"�iJ C/C.�'(`.a , \ . Address <br /> � � <br /> __-=i�-i.'�, _ �/;" , <br /> Telephone NumGer <br /> 7 /[�- ;�'r <br /> Dafe <br /> or's Signolure E <br /> � .C: � 3/ 7eJ C`>iC" Fee <br />