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��� <br />APPLICATION FUR RIGIIT-OF-I':l�Y USE P[HL11T <br />�•.�•���u <br />t/� �- <br />�J <br />iTr t nu,irdi_i it; <br />VERETT, lL'ASHINGTG'J <br />�a UndcrsigneC r ",��;_ <br />ereby app�ies for permission �o - <br />t �hc �ullowing IocaUon ����1_ .; (,_�I�'�__ <br />f'` <br />c E rcri <br />Joik to be dane) <br />,} �.-� ..i. . -; '7 <br />� �• � ' ' _ .�1 <br />��' f.� �'� 7).lf�cc � <br />/ <br />� �' �,�g ,l <br />�1 <br />, , <br />DR�vEA�:.r ,,._TiJ�� <br />NO SC�LE <br />' _ -__ --__ -..�.� <br />' . , _,.—' ________ ___� <br />i �; <br />' `-' � <br />UI�'r' Uf �THIS APPLICi�71CiJ TO � <br />.` �'�7:IT[D O�v JOujITE. ; <br />:,f L E HGINCI lil?JG 1�I.i'T _59;:ifl I�. <br />11+UUR5 GEFOR[ CU��:�TFUCT10�1� <br />-� - - -------� -- ------' <br />-�f-CK UST <br />a�cr �/�Ivr <br />r,7in��� <br />u�� & GuI[cr <br />uh•:alk _ <br />-u �� tw'e S , i.ni�i�� <br />� <br />� � <br />PEft1.11iN0. �� '' <br />Thc unticr5i�rn..�d ov.n�:r 1'�rirbY d pces h.s 1�: �... <br />save harmless lhe Cify of [verctt Irom an� ,-, .. <br />claims for ddniage5 that miy an;r hecausc nf .�- . <br />tion anA maint,:nance uf iL•e irnp�overt�ent nar.,. <br />applicd for and furU,��r agrec; m mmo.:,: •_ ;.; . <br />notiec (rom Ihc City and to replacc publ,C prr,:��� <br />dama,cr th� iuby. ' <br />� i <br />_lG_„ �.1Clj _1 _ <br />Sign�t � o� nn,rK,nt <br />� - �-�'C. 7'% � <br />_r_� n_— : — <br />Address � . - <br />Z--�%•o,�(�� <br />�-- <br />TClephonc/N utnbcr � /�—'—'-- <br />_lFJ�yS� 2� .._�l-_.... . <br />Date f'��i <br />L� -- <br />Fcc <br />Dept. Approvals <br />Enginecrs � �!�lti..;�': <br />Water "_' <br />$Irect <br />Ccntmunicalmus—� -'-'.—. .�.. <br />Trafh[ —_'— . . <br />Pl.inninq.-__.. .. <br />