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` \. L' V,a � �\_l'� L._(.�.'1_ <br /> EVERETT, WASH. proved ey <br /> �C CVD�I' �( �a,C��; <br /> i +"7 � -� - � Datc Approved <br /> The Undersigned ��,� — ' -' ` — <br /> � i <br /> Hereby applies fur permission tn�� �/�� � �'���7� � �� ����G � �D X L `� <br /> �.A!-�/i'`!%'✓u .�}reC/-� � �i1 /°if'(�!//L�; 'S �l� �/.=0��.� � �F�/: /j,��1 L5� <br /> At the following location�� z' /p�Ud"'�/j'i oi✓ (�/2 , — L-e� � ',?� /` �:C�'D K _ <br /> — ._.•_-_�..,a..._...:�. , . . _,. <br /> �/i�i.�J A��.��17�J�1 <br /> SKETCH <br /> IWork to be donel \ �__�� <br /> �� \ <br /> \ <br /> �� <br /> j�roc:�,"�%�� � \ <br /> Dh'• A <br /> , <br /> ��--��� ��z - <br /> '/'KOVIDE r�� i%�'v,�P D�/NAbE <br /> I pROPO5E0 Zp �X ZO �� �NC. <br /> /� � 2° � �",�RK,i"�G A/�EA <br /> � �� �� �� �� c�r r,s�H c.v,�� <br /> �- � H � <br /> 'B � � - �!h`F c� EXiSS'� /'h: '7 <br /> _ �3o.O � �� <br /> � `� <br /> f-��2v''�J 1/i�Yi� �t,t7n . , 1� <br /> � <br /> lo � <br /> � � <br /> � � <br /> l� <br /> The undersigned owner hereby agrees lo hold and save harrnless Ihe Cily of Variance Required <br /> EvereR from ony and all claims for damages that may arise becauce of the <br /> Ycs _.. __....._.._.._... <br /> insfallation and mainlenance of the improvemenl hereto applied for and No.... <br /> __..._......_....... <br /> furfher aQrees to remove same upon notice from Ihe Ci1y and to replace all <br /> publicpropertydamagedfhereb�. zoX "•:-� G>!J�= . - .� _ � �!•� <br /> �'c�l�-,��/ ��� `I/�� �`-` �� <br /> ' NOTE j `�� a� .���cL�'�a ,U�Y''�-�,.-. � <br /> - ,�/ �1.0, M Signalure ol Applimnl <br /> CHECK VJI7H WATER ,Jw � <br /> 'i-�T. F�'R ;`.'�1fR LINE tPAviN� � /� f L <br /> 'i�E FXi;AVA`IIL)N q ��.;,�'L' ,2- �".cft��L' ,-.ze-�.�-C <br /> add. � oT -78 <br /> �!- z _ �� ,�,3 <br /> Telephone Number <br /> �'/ � �� ,� �-H <br /> �- /� _ i�l " Uafe � <br /> --'�>".v�•' �-! �� �1'�l-si...> �.c..-f <br /> �1 sn pecfor'Y ignolure .� s -� <br /> :� <br /> /E� i Fee <br /> c;9 <br /> Dal� <br /> DEPT. APPROVALS <br /> _ � J I <br /> Remarks Enc�ineers <br /> Walcr V —' �'�� p <br /> Slrccl �� •$-n=�r , <br /> Communicolions�..�-.=-`-�_��. . . ri��lt .,. �.ky '. <br /> � - <br /> Tmflic ,� � - -- � <br /> Planning � ` - <br /> �� <br /> t <br /> a �" <br />