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t :=�: - <br /> f ^ . � �. <br /> Permit No. .. -- �-.. .... -- � eVef'e� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � <br /> �.- , � /�'� �;, f <br /> GTY ENGINEERS '"}; / ��-�/� � /�',�-/" <br /> EVEREIT, WASH. {`' � `T Approved ey <br /> S'�OTFi�/f3F.G x�D <br /> The Undersigned <br /> M C I RATH � cR P Date Approved _ <br /> Hereby applies for permission to—l����4�'a��c T I R' n - u��� � 7 rJ� +l — <br /> At the following location � p% �` �' � � ' ��i 1 r w f- � v f> — <br /> SKETCH j _�,� �-"" � <br /> IWork to be donel � ��' <br /> ��\ \ �.- <br /> �_ /, <br /> �� <br /> � <br /> i= Mo <br /> ,4,� <br /> "' N <br /> \ a �'/�.� '',i <br /> � �/��. - 1L�� <br /> i <br /> \\, a�L � <br /> \ � �� � <br /> \ 9: \ <br /> ,` \ '1 <br /> \ \\ � � <br /> \ � _ <br /> � `' <br /> �, � % <br /> � � qs l .. <br /> ,, � . �- <br /> � � , <br /> s <br /> . nc}TE <br /> CHECK W1TH VJATER � <br /> DiPT. FCR 1�!'kTrR LINE �� � <br /> ' �'��/�Tl��i^,,: y�f�ORE [XCAVATIO;Y <br /> The undersigned owner hereby agrces to hold and save harmless the Cily of Variance Required <br /> EvereN from any mid all daims for damages thaf may orisc becausc of the Yes..... ._.... . ._..._.... <br /> installarion and mainlenance of thc improvement hereto applied for and ���Vln� �.�n No . . ___.. <br /> _.___..... . <br /> furiher agrees Io remove some upon notice from the Cily and lo replace all <br /> public property damaged Ihcreby. I'D�i'��� �1iialNAGE <br /> .pRIVE\JA!'-- 54C710N_-- � ' � <br /> � r r � ��LC .�.c L . �� [�-�. <br /> �''1 •�`�•� � Si�nalu of Applicanf ° �� <br /> �— n — � <br /> � ,,;9 0d �, �ZSL <br /> . <br /> �2v.�� /lG�Ty •�✓ � <br /> I_...v._._�--------- --- . - - - <br /> _.. . _. . � ' .�=�9 <br /> zcr�oN "'� �'�'"-� � �i , <br /> --� -- -- \�A ' u�,�va .�,<�: � Address ,(3E",LL.�d!/t <br /> ; I + • . ..._------_""__'� (rv n S c n tJf) : , , , <br /> � D�1 �� � �� i��-['7 ���� ����<':r� C <br /> i — <br /> � f ielephone Number <br /> � �F!D__S c�I�. )_�--- �� '� �ny f'�� '�cs�- . <br /> �__._�____—'—_.. _.. . .�._.�_- � 7" <br /> ��-.���_ �' ; P f <br /> �� �L__.�.__.',�._�:_ � Dafe <br /> �t <br /> Inspedor's Signature ? i � � �[� ,ir . <br /> / . <br /> Z n <br /> ��C1r.-`•'G'�D <br /> �'ji�, - L, ( --•---� Fee <br /> Dale <br /> LCPT. APPROV LS <br /> Remarks Enginech�� � ' � �'/�/� <br /> Wafcr �,� l i��i..:.r_.., jl_�/7�_ <br /> Slreef l � � <br /> ' _ �� , <br /> Communicotioiu—�—�-.'----'. _-._1.�:�.--. <br />