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<br /> EVFRETT, WASH. n ruved 6y
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<br /> Dofe Approved
<br /> Thc Und^_rsigned� -- -•___�� � ' —..�— �—
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<br /> Hereby applies for permission to__�'%'�"- - — -�
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<br /> At thc {ollowinc� locafion_ ' ------ T ' ' ` —"-
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<br /> Variancc Required
<br /> Thc undcrsigned owncr hmeby ac�rces to hold and sove harmlcss �ie City of Yes . _. .. ..
<br /> Evnett from ony and oll claims for damages that may arise �ecause of Ihe No . �
<br /> installalion and maintenance ol the improvemenl hcreto upplicd for nnd � �
<br /> fmthcr ag�ecs to remove r,amc upon no+ice irom thc Ciiy and Ic replcce all
<br /> public property damoged �hcreby.
<br /> $ignolurc OL Applicanf .
<br /> Address
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<br /> (L ielephone Numb�!r
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<br /> UL'PT. APPROVAlS
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