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r , , ( _ <br /> --—`-�� L'f= <br /> The Undersigned /y�� = i ,' - i.. �at� Appro�ed <br /> Hereby applies for permission to C�R–'S� '� � ��.`"' — <br /> ,__� :;.� . _, ; <br /> At fhe following location_ ' " - -- - <br /> r <br /> SKETCH ���,y ` G _ � <br /> IWork to be donel A�T D� f�E�9 ' C Yti/jJ/ / <br /> C <br /> O/r�i�/C j <br /> � <br /> i•=,5�. K,, <br /> , <br /> � 6 i --��_ <br /> i� �G I� � DEq <br /> I"i5 ,r � v <br /> 1 � <br /> . <br /> `� ' � Q <br /> I <br /> � I <br /> � I \ <br /> I v ` <br /> � 0 8 � ' � <br /> n�� S � �I � � <br /> � � ��j <br /> i � <br /> ���. � <br /> //G.7/ <br /> f�C-R/fsNiRE QR�I�� \ <br /> The undersigned owner hereby ogrees to hold and save harmless the Ciry of Variance Required <br /> Everett from any and all claims lor damages that may arise because af Ihe Yes . <br /> ._.. ..._..... . _ __. <br /> installation and main�r.nance of the improvemeN hereto applied for and No. _. <br /> (urther agrees to remove :ame upon notice irom the Cily and b reploce al� ------ ������-��- ����� <br /> publit property damaged thereby. <br /> /:�y�{',.. ,�-�. ;=��''��. . . . ... <br /> ,� . /� � /.. � . <br /> - 'u.� . ��. . C .. . <br /> Signalure of Applicanf <br /> � � <br /> '7. �; �; . -� � � .�i. . . � <br /> y�n4� <br /> Address <br /> '"'/✓� � `�'i// <br /> .i:.. u — �' <br /> �:i.' : <br /> � ielephone Numbw <br /> r <br /> '�/�.._ r:�.-. <br /> 'Daf e <br /> C_ <br /> Inspecfor's SignaWre $ �- ,� ��� A_2�.�.�f <br /> �iTFz �is'�GKG�l� 7�7�7d Fee <br /> Dafe <br /> DEPT. APPROVALS <br /> �/ /%� <br /> Remorks Engincers " ��/�� <br /> Woler `"t" � - � <br /> Stmet �%-: � f .. �I:t��. 1- _ <br /> CommunicationsT-� 'N'�" '�`-^"� � �� '� <br /> Traffic <br /> Planning �.�/�/^'� <br />