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_. <br /> r�o. -� _.__....; � :. <br /> --� -- everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> L ��� / I <br /> I�IGINEERS � ���j�.� <br /> � �/Ay�-{. � Approved By <br /> %f3R�'/-f !� /7�/� <br /> dersigned � � ��'��F �-- Date Ap ro�ed <br /> applies for permission fo � `'''/�% �` �� " � - ` � —_ <br /> iollowing bmtion ' �i�` i��^/.'F_,�_ aVF. <br /> e <br /> ; be donel �c';�� <br /> _ , -� <br /> __ _r--_ <br /> �Q�� i <br /> \ <br /> m v o� s .r- <br /> I I � I <br /> �` ,q t_c E Y -- - <br /> .. , �.,�-'� t - RrnnvE GvRC� , <br /> . . !i,f__ �.r�� ' � li <br /> � � �— � <br /> I <br /> ..� "�' ' <br /> '1.I i= , <br /> . :.�lT ,:,vt_F:l.Fcy -re �ct_ i <br /> ' . %�:[D Af-TFFL GnNCF.'ETE _ __ � . <br /> � . . ` rcN Gous72vcT6U <br /> i:igned owner here6y ac�rees Io Mold and save harmless the City of Variance Required <br /> o=� any and all daims for damages that may arisc becausc of �hc Ycs. .. . .. . . <br /> r. ond mainlenance of the improvemenf herela applied for and N� <br /> rces lo remove some upan notice from the City and to replace all , ,� <br /> perfy damaged thcreby. ��'�):�.. .i <br /> '�. �. ..�:fCT1011 . � . <br /> ., '='''t�- � -... Signalure ol Applimnl <br /> 9RIVG�JAY 56Cf1C�N--- <br /> � <br /> � <br /> �,��. � +o� _ Addiess <br /> � <br /> � __�-�:_.� � =; -. . _�._�� ,�- : - <br /> � , ��--�'-` I Telep: �ne Numbei <br /> 1 3 —/O - 'i <br /> � ._. — i ._._._---- ��� -_�_e a R r. Dafe <br /> _�� . ' <br /> - $ignalure ..— S - - � . <br /> Fec <br /> Gi�%r�� :�=i) ���1f7� <br /> f`EP7. APPROVAI,S <br />