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The <br />WL <br />��5 <br />� Approved Fy <br />�' ,(� n <br />( r .'�l �': L'' �t� � �. AY�i l <br />Date Approved � <br />Hereby applies for permission to /NSTI=1 �-`- %Gf�O .3 � f'ob j d/� �^. �TE ��! (/El.(/1�? '✓S <br />At the following lomtion �/� ��✓ l2 / D G E �/�O/GF�1.N' � ENT,��C - 3 1 I �'� l/� V' �`'"- '� �`' '/J <br />SKETCH <br />IWork to be <br />=+�p/�iNG �ENTE�< <br />A2EAS T� QE LqiyOSCf%•�E' <br />Ai A LAiE�4 DRTE1 <br />�,, <br />, <br />� yzorne co p/w 5 <br />� I <br />� <br />� ---�_-� ---_ --___ <br />__�/w�� � T-� �� � - <br />! w �`U,qe� C� Rv�r <br />_ _—� � s-�w�'u <br />M�Ki�7�� <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everelt from any and all claims (or damages that may arise because o( Ihe <br />installofion and maintenonce of the improvement hereto applied lor and <br />further agrees lo remove same upon notice from the City and to replace all <br />publit property damoged fhereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I•-- 3 S � -� <br />I" LIP <br />r 30'�T� 30 � 30" <br />� ! /� <br />i���U.�.i 2 ����1'�7�� ��t�J) <br />Inspxlur's $ignalure L� ��� 1� <br />�� <br />.S/77z �ff� GifF/�' �'-�7��.? <br />Dale <br />la°� <br />��_�i,�; --�= <br />Gp��l �l�6E0 <br />Q <br />7 <br />J <br />J �1 <br />a. <br />z <br />7 <br />J <br />O <br />Variance Reqoired <br />Yes...._._ .__.. .__... <br />� - , i No._....__ ................. <br />��.- ,� ' <br />`,: ` -�`j i h: __ <br />� <br />X� ���Signclure ol Applimnf <br />Address <br />% �� � � � � � <br />Telephone Number <br />/C—/�-,72 <br />Dafe ��z —��! <br />) . . ��'-� , .. . , <br />(, � E �5�� /;�/Q </� �_ <br />Walcr <br />Street . <br />Tm((ic ' � �1 - <br />Planning _ <br />