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. Permit No. ..�L?.L1..��. eVeCEtt <br /> APPLICATION FOR DRIVEVVAY PERMIT <br /> ClTY ENGINEERS � /�� <br /> P <br /> EVERETT, WASH. `-� Approved ey <br /> �s��.l�Eir'I/3�`'-,�'• ���9�� <br /> The Undersigned- LA2lz� l�/GL/.s Dare Approved <br /> Hereby applies for permi,sion to—��v�T � 12 � D�GeJ <br /> At the following location—�9�10 ' �'61�2Sd.�t/ �'L,.'`�'G�- <br /> SKETCN <br /> IWork to be danel �� <br /> �� <br /> � No ScA�E <br /> GP¢�� 8 90 G <br /> _, <br /> ,:� <br /> p::� •n,'`I . <br /> --�,_.. •A•'p-4�---_. -- — <br /> F/`'!E 1z so N PLpG� <br /> T.ic undcrsigned ownen c�reby agmes io hold and save harmless the Cily oF Variancc Required <br /> Evercdt irom any and oll claims (or damages Ihal may arisc bemuse of thc Ycs..._ _._. . <br /> _.... <br /> insta Iation and mainlenance of the impro��emenl herero applied for and No_._ ._ <br /> furlher ayrees b remove some vpon notice (rom the City and to replace ail – �-�-- – <br /> publit property damaged thereby. <br /> �2R L�l�•.JAY.-�_:_S zCi!Ok /� <br /> ��, <br /> (NO.-TS�CACE) C� �iL"'LL�� C�i ���lC�!i <br /> Sign ure of Applicanl <br /> /�i � , <br /> 8�=:1 e-3a"-. � �L ' �7 /��,P c�- <br /> � { ` � I'� Jp �,�C' Address <br /> �L._..__...�;a_ �. l. � �.i�• ' c � c..,:• , <br /> �--� � S�_ ` <br /> �1 Telephone Number <br />