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' � ' pprore y <br /> ��d�/.9.f--� -f�'. ��y/ <br /> The Undersigned��, 1. !' 01JS1. � cNN n_ • RoY TNoRSEN� Dare Appro�ed <br /> Hereby opplies for permission to f�NST. /� l X � r��t�/ A 2�M P �'r0/1JG To P/a ��l<� � G ��;/ 7-z�/' nF l2oOF. <br /> �-T LV/<L RI= L)S D i �O `T TiZlaFF/G <br /> At the following location /�//7— PAC I Fl � AV E <br /> SKETCH <br /> (Work to be donel <br /> -- _-_ _ --- _—— -- -_- -_- — <br /> _ _,-._ <br /> _..- - <br /> GR�• ND _ /�v � . <br /> e• <br /> ____��.._�._'—_.' : 9 � —'_ —_—_-_ ___"'-__ —i= <br /> T._—. . ,.8'n � <br /> I _ _ — \` _�_. .. \ <br /> � � ...\ ` �i '� <br /> i <br /> ` <br /> � � � `.. \� \ ; <br /> � �.. <br /> � � ` \ i <br /> � �E ��� �,.� �� .� i <br /> 1 � �� � �� � ��� � <br /> R_ . \ \ �\\ ` � �. ..\. <br /> ��:,''t,e � � � � � -�.-� � <br /> 1 T ' .-r s \'��~ `�\ <br /> .` ,\\��,. Id/� � �� <br /> i �, \ .. �.. � � ' � <br /> ' � ` \ t � <br /> �' �� I , - � � � - <br /> . � - ~ _ _ . � � ' ' � � <br /> � <br /> The undersigned owner hereby agrees lo hold and save harmless the City of Variance Required <br /> Everett irom any and all daims {or damages that may arise because o( thc Yes <br /> inslallation and maintenance of ihe improvement herclo applied fur ond No � � - �-- ` <br /> further agrees to remove same upon nolice from the Cily and �o replace all � � � �j <br /> public property damoged thereby. ` <br /> 1 � <br /> . i <br /> / � <br /> —'t <br /> 'X �.lr � :-t� '�i_ ` <br /> � Signafure ol Applicanl <br /> j ' <br /> � i i�: ' <br /> ; d . � Address ;' <br /> r.',: � <br /> Telephone Number <br /> Dale <br /> Inspeclor's Signalure $ C� «' ��L�s ../�, <br /> i � � <br /> u <br /> .�/T/zr �/!f_=C.�.�/) ���.�/7j Fee <br /> Dofe <br /> DEPT. APPROVALS <br /> Remarkr ' Engineers—�� ,��iF���i���'�// <br /> Woler�+.�.� •._ T //.'--� 71 <br /> Streel — �--��- - - --... . <br /> ..:i . - ---�_. <br /> Communicalions - -- <br /> Traf(ic ^�f .�:;/f L . . . <br /> Planning �'-S�, <br /> '�" — - I-OR <br /> ,,; �-,-:: inc, f3ept. 259�8803 " NOT� _ . �.� r�rtnirv,acE <br /> ' f;c��� bcfore CN�CK N/1TH 1NATL"f7 <br /> � .`� �rlion is started. nr'�T FOR t�dATER i.INE <br /> •T r , � . , r>rnvnlii,��.; �-� -.__ .._...--__. ._,., <br />