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� , C <br /> Permif No. ..�. :...�::_—� <br /> evereH <br /> � APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ��� � l �✓ (i • <br /> EVEREIT, WASH. ov� B�C L��� <br /> Y <br /> -.� . <br /> ' I1� •sr(? \� n � <br /> The Undersigned � , ��' ''� � '-"� r Date Approved <br /> .,/' i <br /> Hereby applies for permission fo -`j'' � /./� %�-�� �� / `� %�/' -�' '-< `r- <br /> At fhe following location—_��C�/ ;��'t./i 1� ��;',' i` <br /> _.. ,—�—,�--'" —...._. <br /> SKETCH �� �_. _ � . ,. . � �� __ — <br /> (Work to be donel ..__ <br /> I � � _ ..� <br /> 4 L L �- 1� � _ <br /> /ZD ' '4 Q '_ "_ <br /> m �'O�� /9 ' CDNC, uE. ' _ .. ' _ _..__�- <br /> , i �_. _ --___,.. _ . .. <br /> h i <br /> _ , <br /> ; I I <br /> � II � I <br /> „ — I � � <br /> a i � i <br /> m ��� <br /> ,�, — — — — ;Rt.jYI�E FOR� <br /> �'� �RRIhAGE <br /> �P� C �-t'�FEL l_ E�;�' � �,:r ___ ---- ----. .. , <br /> The undersigned owner hereby agrces to hold and savc harmless Ihc City of Variance Required <br /> Evercff from any and all daims for damages thal may arise because of thc Yes. _ .__..._ <br /> _ . ......_.. <br /> insfo alion and mamtenance o the improvement here�o applied for and M NQ'f[ No_ .._. .. . <br /> further ogrees to remove same upon notice from the Cily ond fo rep�ace all � ��� --'�-���- <br /> public property damaged thereby. CI'F_Clt \'.'1-!-� `.""CR <br /> D[P7. �i : '. `, <br /> LOCATIOiJc L_� .,�;:. .,.�'.'„A','i!�i< <br /> 1 <br /> . � <br /> ��,{� � c /,�< </ • ��G/7�� /S)� '�. .��(f A:.. <br /> Signef re of Appliconf -- <br /> C��' � /�Li !/F,u'/� // <br /> /�. , / '� ; . �✓i�.i'-c�..� <br /> ��/� . � :�CE'C : . ' /.'4•.i . <br /> ,. � <br /> Address <br /> �����- .���� C <br /> �"�:: ielephone Number <br /> %i! .-1, � �:�� 'SG �� <br /> ' 7 ' � � � Dale <br /> %�� �' ,.G� <br /> _ � . S <br /> Intpacl s Signafure � . <br /> � � � Fce <br />