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. -- <br />Permit No..�/ � 1 � <br />................ �--� <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS ` <br />EVERETT, WASH. roved 9y <br />3 Mac.� 1T qS� <br />The Undersigned �, � . ����� �a�e Approved <br />Hereby applies for permission to ��'�� 7�' 4 f�' :%- =? � i!' a ti" AS/�i'`//7/_%/` �t�/(���� 7�l_`i <br />l�" <br />At Ihe following location !�7.P �`� '� L G�T irz /�i=,fJ % v'� Mf���� L'� ;-!�=�G�` 7s Z <br />/ FJ0 � �x�.Gt.�i;d% I/fi:.r%AJ d-�f:c�� <br />SKETCH <br />IWork to be <br />� <br />I <br />O <br />�� <br />h <br />� <br />:; <br />� <br />The undcsigned ownen c�reby agrces lo hold and save harmless ihe City of <br />Evcrelt from any and all claims for damages �hat may arisc bem�se of the <br />installalion and maintenance of thc improvemenl hcreto applied for and <br />furlher agrees lo remove same upon nolice (rom the Cily and to replace all <br />public proper�y damaged �hcreby. <br />Variancc Required <br />Yes ......___. ..._... <br />No_..__... _._.._..... <br />,' "- r�D <br />/ �I f , <br />I. S ( ��'� • a� ��, '4'r�' � ' �.' <br />` Signalure o! Applicanl <br />' Y, <br />� � , <br />�� -: C'G � !.. ";• ,.,�.,r, -�l�.c,-' :.�,-... <br />�i <br />� Address � � <br />._�r> j —%:l�l� <br />Tdrnhonn �Iu;+hcr <br />,_r <br />