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--� n <br /> - _. <br /> Permif No. --:'-='� �� <br /> - �--.....- --� C Vf rl'l��L � <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS —,y�/�f' " � <br /> EVERETT, WASH. ; ��..�- < <-v�• <br /> �-- � Approved By <br /> ,��-.��rj�.�.2//9�/ <br /> The Undersigned � ARR� �I/LL/S Dale Approved <br /> Hereby applies for permission to /'��Al ST A 1 Z� D�+N <br /> Af fhe following location—BR/ FS-_�F� soN Ptasc <br /> SKETCH <br /> (Work to be donel <br /> —�--_�-_ <br /> � No �c�'-c-_ <br /> ;$IS <br /> �axP� <br /> i � <br /> 1 <br /> i <br /> i <br /> � <br /> '�� /C . <br /> p A 'v . --�.__/ �. <br /> �� o ' S��✓ <br /> �. L� <br /> F�MI_�T2���J j��NC E <br /> Thc undcrsigned owner hereby agrees to hold and save harmless the Cily of Variancc Required <br /> EvereR from any and all claims for damages that may arisc bemuse of ihe Ycs.__ _....__._. <br /> installalion and mainlenance of Ihe improvemenl hereto applicd for and No..._._........ . <br /> iurlher agrees to remove same upon notice from the Cily end to replace all -- �-��--�- <br /> public property damaged ihereby. <br /> 'n4 ���r���. <br /> �ur.:b��,±,�r: _:_sxcr.loN y `,% <br /> (�Jo-.senc£) q /.!J,., , �/". `,11. c <br /> E c, _ <br /> � Sign6ture of Appficanl <br /> 1 .^,.•;.:�:� . •' ' - -.r_�a'��,{'_� ��,,/C . � f.�,� .0 <br /> _,4 •� { ,.«. �i, '.'. .... __ .._. T�� .;`�:3 'u' Address <br /> . � <br /> . • <br /> ,. . . ..._.... ._.—__---'----- ' <br /> � .�,-�..._ .__. ...: . __....___ _-------- j--- , <br /> l. � � 1. <br /> t �t_"'.'-.-.�.^ __.__� l � � f / _ <br /> � Telephone Num6er <br /> � ..__ .. _..�...__... ..__________._ _____ __6 _ 9 -r � - �,� <br /> Dale /�� <br /> Inspeclor'z Signalure g . /I . , i, <br />