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ln=. Unde�siyncd <br />Dale Approved <br />� _ _ <br />�� �� _ -r: �� . �� � � , , � ^, ��.:- �or�1 c r� . � _ � j .__. � . , .. , �_, <br />Hereby applies for permission t� ._ <br />A� Ilse following Iocalion- � � � }'.� �r� , -"�" � '� P '�� � ��� 'l ' � <br />SKETCH <br />(Wor!, to be done) <br />The undcrsigncd owncr hereby ogrces lo hold and save hnrm�:ss the City of <br />Everett from any and oll cioims ior damages Ihot may arise becouse of the <br />installotion ond mainlenance of the improvement hcreto applied (or and <br />further aarees lo remove se.ne upon nofice {rom the Cily ond to reploce oll <br />public property damoged �hereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�`— / `� � —'i <br />I" LIP <br />I'-0'�_ �I�30"'1 <br />Inspecfor's Signature <br />1�,-- , . �. - <br />oar� --- <br />i . ��, ����;, <br />r `, <br />�,�'� <br />1-�%�I PJC:, i�F�f�.j <br />u' <br />` NOY� <br />CHECh; WITH WATER <br />U��PT. FOR VJATER LINE <br />. ... „�r-��-��.- r:������•,-ii�-�� <br />Av � <br />• — -- -- --�--- 6v , <br />— — — — -�- Pisv �•= nnL.s;q. <br />Variance Required <br />Ycs ......_._.... ... <br />No.. ......_. ._... <br />i <br />j �: i„� �, 7 ,; � _.; <br />_. � / <br />� <br />�.��� 1.� � !� ��_ �, — � <br />i <br />�' Signalure o( ApplicaN <br />'7i.� la��e lJ ��-'��t«;.�,;t. <br />Address <br />� Y ? i S-� <br />Tele,ohore Number <br />� , ,'/S, <br />�cfe <br />_ s q �' �,�/�r.i <br />V'•%._ - � -'� . - 7 it <br />- � �. , . Fee c -;;�' <br />a- ,ji.��.' <br />DEPT� APPROVALS <br />Engineers ���'��-z �� � � � � <br />Waler l ' -L'1 'i�� c�%'� <br />Strcet_ �"���-c�f =<< - <br />- ` —' - ' <br />Communice'ions' �"�:.��� <br />Traffic � � <br />Planning ' _ <br />Pfi�iVIDE FUil - <br />; PROPER DRAfNA:� <br />I <br />. .:.t,,,.. <br />