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�I. . !.,.�UE' J,jl�:.:l . <br />Hereby applies for permission to ��G r.l S T. �'i l/� � L�r/�� <br />At ihe following location y�s— �— <br />Thc undcrsigned owncn c�reby agrees to hold and save harml�sz the City of <br />Eve��ett irom any ond all daims for damages Ihof may arise bemuse of ihe <br />insfallalion and maintenance of the improvement herelo applied (or and <br />furiher agree, to remove same upon notice from ihe City and to replace all <br />public proper�� Damaged thcreby. <br />Inspeclor's Signoiurc <br />?iTiF ��C.��r 1� ��� �7i <br />Dale <br />Remarks <br />„�.i ; . <br />i <br />�,�PtiU�'�,_'� ,.. ;,1;, ,_ <br />Gall i � .� _ U ._. <br />2A {;ours u.I�re <br />conslruction is started. <br />�� <br />(�;�; S <br />� � _ [,0 <br />� � <br />Variance Rcquired <br />Ycs <br />N-� <br />i � , <br />� /, .f <br />r <br />e� Signafure of Applicant <br />ii:i ' . %.'. <br />Address �,�� „ , <br />j _ � � <br />ielephone Number <br />I).:fe <br />o.a � <br />S �-- � . �.,�' <br />Waler—_ <br />Strccl _ <br />Traffic � <br />Planning <br />� <br />LGCATIUfJS B��rvlti. c�W�'; <br />f cc <br />���} "/7/ <br />r _ ._—� / <br />