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3121 LOMBARD AVE 2016-01-01 MF Import
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3121 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 7:43:26 PM
Creation date
2/17/2017 7:43:23 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
3121
Imported From Microfiche
Yes
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Perr�it No. .. '-�.�_�'/.Z ` <br /> � � - -{` everett <br /> i � J �� <br /> APPLICATION FOR DRIVEWAY PER�v11T F, �; i ; <br /> ��1 <br /> CITY ENGINEERS <br /> EVERETT, WASH. Approved By <br /> The Undersigned ��Ue�' ��"�������� Date Approvad <br /> Hereby applies for permission to (— /��5� '7 2 � �Ic.�/7 '`/G��T/ ����'� <br /> Af the following lowtion ���� �����"J� ��� <br /> SKETCH <br /> (Work to be donel <br /> 3,� N� s rRE�T � <br /> ----� � i <br /> Q � <br /> �o g -� <br /> 19.my � <br /> g Q �.' i " • 40, <br /> — � <br /> 8 Pic/fET i= _�' � � <br /> u� O <br /> � �Z 312! � v <br /> � a,� � <br /> 6 ,4 <br /> MAX �� ' /N ��/G ✓TN <br /> »x � i <br /> The undcrsigned owner hereby agrces to hold and sove harmless the City of Variance Required <br /> Everett irom eny and all daims for damages Ihat may arise because of the Yes. ._........._..___._. <br /> installation and maintenance of the improvement hereto applicd for and No._. .. _. .. <br /> turlher agrees to remove same upon nolice from the Ci1y and to replace all <br /> public properry damaged Ihcreby. <br /> i'��J�l.r� r^ G.— .�-`��,�;..$.�,.,..�� '�� <br /> Signalure of Appliconi" <br /> f � <br /> ��L, � � �J��a��/a .��-.�r <br /> add�e5� <br /> �—�T �f�`�� � <br /> � ielephone Number <br /> Date <br /> Inspecfor's Signalure � <br /> Fee <br /> �-� � ///�:' '�� <br /> Drt!e <br /> � <br /> DEPT. APPROVALS <br /> Remar�s Enginccrs <br /> . Walcr �—�—�--" <br /> .. S�mrr-- - - - - � ----- - -- <br />
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