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EVERETT, WASF1. Approved By <br />/ � <br />�-i,QPc-:-� ,G . /�� <br />--� <br />, � ,_ r. -- � Date Approvec! <br />ThP Undersigned R = �' 1� „�- �•-� t-- — <br />c. :' t"-= � ;�)i '� --- <br />Hereby uppiies for permission to ��� T�c t_L i�c � I .1 •. D F� _.s._____,- _—_ <br />c��i�c.4�'r -rf �� 7fvJ��.,l� �Ff i1fl�V .._._ - — <br />At the following Icmtion � �.7 � -' \ ; � j`�-!`� ! � � �`�` S /— - <br />SKETCH � <br />(Work to be donel '�' F� �� " l�� �� S�' <br />,,,:.:�.,c-„_; ;�,PPr,.:�,lc• <br />Thc undcrsigned owncn c�reby agrees to hold and suve hormless fhe City of Variance Required <br />Everelt from any and all claims for damages thaf may arise because o( Ihe Yes ...............___.._ .. <br />insta�lation and mainlenance o( Ihe improvement hereto applied for and No <br />.......... _ ................ <br />(urther agrees to remove same upen notice from the City and to replace all <br />public property damaged Ihereby. <br />DRIYEWAY SECTIOh <br />NO SCALE <br />�� j � � �`i <br />L \ f I�� LIP <br />30" --- ►��3� =j <br />�� �� <br />�OGe-10 � c�. �� �'�" � � /�r . <br />Inspecfor's Signalure �� � ��,�� � <br />' ' -2�;-73 <br />.�i i F �.N�-C',�C[� �' <br />Uafe <br />C' I ii: oL �5i'Jd�3 <br />24 Hcurs 62fore <br />�:nnstniction is �started, <br />,'��_ , ._. <br />�: IILCi: 1"�Tii .�; .i C;t <br />UcPT. FOR V;',4T[R LIivE <br />I.00ATIONS BEFORL E�CAVATION <br />�,'7i��..t�,�o NA/S� �; � <br />�t� A � - � l�� - _/; (� <br />Signalure of Applicanf <br />� � r� .�;�,�, ,,.,,, <br />Address <br />�S� Z4 2 / <br />Telephone Num6er <br />.... .. �.� . _ � /'P (� '! � <br />Dafe <br />� y_2ti-�3 <br />S�� I�a r �� � fl F, <br />Fee <br />, <br />/�-� G� j::� <br />��L�o'%'> <br />Planning <br />I'�:;�.�._�, L:;i,l�lir�._ <br />---�� <br />r <br />