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<br /> 3,233 ` �
<br /> Permit No. . .. ......... .......... �... eVEPE`.tt
<br /> APPLICATION FOR DRIVEWAY PERMlT
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<br /> CITY ENGINEERS �� ,Ac-=�-�..u--t.��A,. C ,c%�-�`�-��'�
<br /> EVERETT, VJASH. nppn�ved ey
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<br /> 1�}•',• f`'� ''�'� /A /�ry //�; /J Dale�Approved
<br /> The Undersigned _ �'/!f ��'ivcff
<br /> Hereby r.pplies for permission tu �����"� `--'''? � ��`T'� ��'�/`/��'y � ` —
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<br /> At the following location 'J � �'
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<br /> SKETCH
<br /> IWork to be oonel
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<br /> The undersigned owner hereby agrces lo hold and savc hormless O�c City of Variancc Required
<br /> 6�e.reff Irom ony and oll doims for damages thal may arise beccuse of Ihe Yes .. _. .__.._ _.._.
<br /> installalion and maintenance of ihe improvement hereto apr,;ied for and No .. .. _ . ._._ _.
<br /> further agrecs ie iemove samc upon notice (rom thc Cily and b repiocc all .
<br /> public property damcged thcre6y. "
<br /> �•, C.,
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<br /> , Signalure of Applicanf .
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<br /> Addres:�
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<br /> Telephone Number
<br /> � ,' �, i-� �� Dat� -
<br /> I L �7�,� � �_-���+2� �
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<br /> Inspedor's Siqn ure �� _" � —
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<br /> Dale
<br /> DEP'f. R?PROVP.LS
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<br /> Remarkt Enginc�•rs ' � - �'L ,.� ..� ...�� ,
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