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APPLICpTION FOR MWSE NUMBER Screet Hillside Lane <br />5/1/63 � 2321 <br />Date _._ � � Number Ass' ned <br />Nan�e Arnold Wiqqum Phone <br />Present Address Rt . 5 BOx 8 2 6 F <br />Legal Jacription of Property <br />Lots 5. blk 4 Seaview Heiqhts. <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT Issued by Gene Ba��CXg <br />FORM N0. 435-001Q1.�.� "�"' <br />