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<br /> �PPLlC�,Tf�JN FOR DRIVEW�Y PERIv'►IT
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<br /> CITY [NGINEERS ^� �� �•i' `�—, ��— ! "'�`•, =Y=•
<br /> EVERETT, WASH. Ap�roved oy
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<br /> _. -- '� . /� . ' . Da_e npproved
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<br /> Thc Und^_niyned � • � _-= --`-- ,
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<br /> Nereby applies for permission to_. , „ ` --
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<br /> At the followinc� Iocaiion ' '' ' J�
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<br /> iWork to bo donel --.-----�� ---,
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<br /> Variance Required
<br /> Thc undersigned owncr hereby a�rces lo hnid and s�vc harmless Ihe City of Ycs _. ._..
<br /> EvMett 6om ony nnd oll daims ior damages thal mny arisc 6ecauso of thc No .
<br /> installotion ond mainlenance of Ihe improvemenl hcreto opplied for und � � � � � - �
<br /> furihcr agrees to remove somc upon no�� e Irom thc Cily and tc replcce all
<br /> public properiy damaged Ihereb�.
<br /> Signolure d{ Applicont
<br /> Address
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<br /> �'�' ielophonc Nwnbr.r
<br /> 1 Doto
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<br /> LEPT. AP�ROVAlS
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<br /> Remm6f Waler - �-r.�� : �•,,�. R�4,h':�i.:
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