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f � vi � ' <br /> EVERETT, WASH. - Approved ey <br /> _1�,�-�,;;��f-Q 4 i9�� <br /> The Undersigned '�`—� C�T �-� w�� Date Appro�ed " <br /> Hereby applies for permission to <br /> COIV:����:.' �T .q. 2g ' �^OP' �" c;��i== T�/'��/ <br /> At the following location— L (0 � r�� }�`�`J �— `J S� <br /> SKETCH � I <br /> IWork to be donel �—_—.___ <br /> - --- - - --1 � � I- <br /> � � <br /> MAPL� V I a �V�W D�IVF_G�J/-7 �/ <br /> R�PIAeE S/b�� <br /> I� <br /> — ------- �_ <br /> I <br /> �� ' i <br /> � 2103 � — <br /> � � ` i <br /> �n <br /> i I <br /> � � � 1 <br /> w � <br /> ! � � , <br /> � � ! <br /> The undersigned owncr hereby agrecs 10 hold and save harmless Ihe Cily of Variance Required <br /> Everell from any and oll claims for domoges that may arise becuuse of the <br /> Yes_........._..._. ._..... <br /> installation a�d mainlenonce of the improvemenl herelo applied for and <br /> No............__ .._.._... <br /> furiher agrees lo remove same upon nolice irom Ihe City and to reploce oll <br /> public property damaged thereby. <br /> �, <br /> DRIVE`NAY SECTION ' ` - �� � � <br /> •;>%. ,i . <br /> NO SCALE ` <br /> � ��� � Signafure ol Applitanf <br /> , - .. , ,�. , . <br /> I" LIP Address <br /> �=3� ►a. 74� •T�30 �j � . <br /> ielephone Number <br /> ! �� p�C^ �1.��\�,6�1— �i 7-�;'�'!? Dale n <br /> Inspetfor's Signature � � �p�y�'/J . � S �Y'. :�(' "�"i �:_ �(�( <br /> ei �� �v,�t�`�i <br /> .S%T.� C:NF!'.CC.L� //-3C7..7,V Fee �.��� <br /> ,�. <br /> , � <br /> Date 1 �. � ' �� ��i � <br /> ��/ �.' <br /> DEPi. APPROVALS � <br /> Remorks Enginccrs"" '�r.f/f'I�'%`Y //-'}v -,Z' <br /> _ r <br /> Walef .1�/o �!S `� �y� ` f. /� <br /> i _ �, <br /> _— Strecf. - "• � ' <br /> Communimtions -'-- "� . �_����'—�' - ��� <br /> Traffic a'��'�7c �• . <br /> — Planninal�� �(!l (p,^�,.,z � //—i.l-;%� . <br /> . �Ill.i .'iLL 1-l�l� - -�-'---' : <br /> � �'ROPER DRAINFIGC I <br /> ... �� 1�Ul1iS l� ic'L' h'i-.Cil �llll'� l';I�li ri � � <br /> tr.�.(��nr� is"'�"i1CQ. -07 �rn� � rP.Tt'R LWE . ' <br /> r ,�� ,-;n�� I <br /> � � � uco..a. <br />