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EVERETi, WASN: — - - `��;"°"`O=`Y ---
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<br /> The Undersigned__�'��-�<<'�__. __�U����"�� �"' `� Dale Approved �
<br /> Hereby applies for permission to " �`v�`��- '- -� `-�� `' �-� - '� ' �
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<br /> At the following location— " '= `� �
<br /> SKETCH � I I
<br /> IWork to be donel
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<br /> �_-�.��REMOVE EX/Si%NG D�W ANU
<br /> _>�-r:.` sr R�rxAc� cu�ea�Gu�-P y� s/w•
<br /> The undersigned owner hereby agrecs to hold and save harmless Ihe City of Variance Required
<br /> [veretl from any and all claims for damoges that may arise becouse of the Yes.__ __._.._._ ._..
<br /> installation and mainlenance of the improvement herelo applicd for and No . ....... ...
<br /> furlhrtr ogrees b remove same upon nolice {rom the City and to replace all
<br /> public property damaged thereby. �7`��`�
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<br /> � i DRIVEWAY SECTION ,,,,,,JJ''�''� � /�,� % ���'_
<br /> �`�` NO SCALE� SignaWre of Applicd f
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<br /> ��� U �dress �
<br /> 30" 30�� �S�- �� :�
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<br /> �� Tetephane Number
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<br /> InspeUor i Signalure � �,;�. E � � �
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<br /> Dafe
<br /> D[PT. APPFOVALS
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<br /> Remorks Enginccrs�=;��^\��A����� ��� �f ��"
<br /> Water `� '/�— � ��,_�. _ 7 z
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<br /> Communicaliqnt �� f J�•�-•-�.,`�ii�„i"`.�"".�'.
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