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l `� <br /> _ _ �;- - <br /> re�m�� Na. :...:,.,- .---_�--.:'... everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS %.�_ ��Z <br /> EVERETT� WASH. ' Approved By <br /> �/�6 2a, /97i <br /> The Undersigned �-A KRV l�//_L/S �a�e P��� <br /> � � <br /> Hereby applies for permission to�'O�ST � �Q �/v!/ <br /> Atthe folbwing location�/�U � ��/������' �_ ��L ���� <br /> SKETCH <br /> fWork to be donel � <br /> ` <br /> 1 <br /> 1, <br /> Z� � <br /> ti , <br /> ����' � <br /> ` 1 <br /> , <br /> \ <br /> � <br /> _, <br /> ^� <br /> i,', ,� ti , �P�`� <br /> � � , � Q , <br /> ----- ��Ly�� !:� <br /> �� / <br /> / <br /> The undersigned owner hereby agrces lo liold and save harmless the City of Variance Required <br /> Everctt from any and all cloims for domages fhat may arise 6ecause of ihe Yes <br /> insfallation and maintenance of the improvemenl hereta a nlicd for and No.. � <br /> further agreei b remove mme upon notice from the Cily an� ro replace o9 ���--��-���-�����""��"" <br /> public p peflf'domaged�thcreby,,,__« �?"'f"y <br /> 4�r�rb�.. ,L�.'Y - .... . �,..,,..,...._.....�..� .. � i.:� <br /> � V=2 i'IOfd••. <br /> (7JJ-�. :-.CF�L�� <br /> , ��. �i% -�� <br /> ,y," � Sifnalure of Applicanf <br /> �••_. ' -- �_,__�---"��--�o, ` ' � ! r� i. <br /> � "'_-,---`�:,...�.I j� + ^ i � �� �i , ; i d� � - � <br /> , ' �"—'�"'�l� ' Address <br /> '_"_---�+ i . : �� . <br /> i � �) '! -� i .- - <br /> � � � � � Telephone Number <br /> . ._—..a.....�.._.....___ / _ � . i , <br /> __- ....... __.�_.F. . (. I .J I � <br /> Dalc <br /> -� <br />