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A� the following lor.ation = "-"7 .- --.-` - ':' �`_ - . -� �~ <br /> SY.ETChI I � <br /> IWork to be donel � <br /> i �' _ 3� - .� _ s-f: _ -- --- _ <br /> (. ?�'..> � 19�5 s�aF.r�A�_•�_. <br /> �I, ! ./'�__ ' � . .. <br /> _. ... _._ .� ----- <br /> � �i - —�f— -`-' -_ �. . <br /> !Il II� -1" �I�,E -Ta =;,r ll <br /> , tij > I ��� LS?oa.t� Ws--�'e-:Z-; <br /> � � �--� �, — <br /> � - _ � —�---— j <br /> I J �� � <br /> i �o� 3�.0 , —� <br /> � 5`-�`+�� -- — ' -- 3 4 0 4 __—� > <br /> � � � -_ _ _ --_ _ _ - - �� ��l <br /> � .-,----_- � <br /> - - - i:, <br /> � –cus� -rU a� cur _ -- •, <br /> _ ,i � - <br /> Q i �" P7-�s-r�L �P�+�U � C) <br /> I ' � <br /> �; -. �� }-iN� n. ,�. V <br /> L <br /> � �1 � , ' ''r iJ`,.:J�.i-.; 1_ . '_ i fl.f. 'l <br /> i� w f?:.=GF_ir/� i � "�-r Y•nry(�tEf2. <br /> '� , � -rNe � ..� c �.�� �sinr� F�or <br /> r , L�c.cv Pfl NT +i.T � I �T�1!A L I� .. <br /> II I d DIs1�AY�GE i n�'rt� -rl�tJ � -�;:, r s r , <br /> � f � <br /> Ihc undersigned owner hereby agrces to hold and savc harmlesz the City of Voriance Required <br /> Everett from any ond oll daims for damoges thoi moy orisc becou�e of thc Yes ... <br /> insla Iolion and maiNenance o( the improvemenl hcrelo appiied for ond No <br /> urt er ogrees �o remove same upon notice from ihe City and to replace all - � --� � - �� <br /> public properly damaged thereby. <br /> � <br /> DRIVEWAY SECTION • �t: _ <br /> / �.:J�/ ' , ,` 4/i� � /� . <br /> N� $CALE � ;' Signalure ol Applimnl � <br /> � LIP � � � � _ �J� ��c��c_.� �� <br /> � + � / Addrnss <br /> ` 30" T� /� � 30" __s.- 41 <br /> , �\ _� � ��' _��-' <br /> �� Tclephonc Number <br /> 5'� 3 - LX �C <br /> CJY,�/�(�"{!� i^ '.�J � '/ /Ci�.�'Cc Dofe <br /> Inspecfor i Signalure $ �r��, ����,` <br /> .�/ir-�/:��� ..l':/ ���-�}.;'i .. . . Fee <br /> Dofe <br /> �O,t.�y"i DEPT. APPROVALS <br /> Remarks � <br /> Engincers � • �� <br /> Water <br /> Street �'�.�G%f�,. -. ��.c-C -i.2—_ <br /> � .i � i � <br /> Communications <br /> Traffic <br /> Planning�-:y� . =-�_-.�l.La�i <br /> rROVIDr F`On �_ 1 <br /> �`,ii En�tineerin�! �ept_ 2598803 I'RCPFR DftAINAGE �� <br /> 21 Nours before ' fdOTE <br /> construction is started. CHECK WITH WATER I <br /> DEPT. FOR WATER LINE --�—"— "_`� <br /> LOCATItI�;�S E�FOF7F C�<��r,vATIOM <br />