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<br /> '� `- APPLICATION FOR Df21VEWAY PERMIT
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<br /> CITY ENGINEERS � `% ��f���
<br /> EVERETT, WASH. r� Approvzd By
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<br /> The Undersigned L�l. P r-a.esa-� Daie Approvc
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<br /> Hereby applies for permission to �' ����'�`'IJG T q :'��. - CA I% �'A t ✓ ! :.; G- %--.:s 7� �c A :�� y. s" �LG�/ __
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<br /> LU;'I�AR� ---- — A '✓�_ ,
<br /> The undcrsigned ownen c�reby agrces to hold and save harmless the City of Variancc Required
<br /> Ever_•' irum any and all claims for damoges Ihat may arise because of the Yes__. . . .. _ ..
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<br /> installation and mainlencnce of thc �mprovement hercto applied (or ond � —�.�.� No_ ... ... ..
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<br /> furthcr agrecs to remove samc upon notice from the City and lo replace all � {:i.i '.
<br /> public property damaged Ihereby.
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<br /> �—�_+`� � `"' . . ...22 `��—��-'9� Signafure of Applicaat
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<br /> DEPT. APPROVALS
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