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Z <br /> EVERETT, WASH. � � Approved By <br /> .FEf3Ri/�RY �/Q.�; <br /> The Undersigned � T�I�� `--��n �t-� Date Approvcd <br /> Hereby opplie: for permission to 1 �1 ST A t.�L A I �� � � � ) '. i , c�' �. `.f':-t 1� t_! V l��'.+ )F':j <br /> At the following location G� 3 Z--� R� � ` � ��� L'�J � D� <br /> I, � <br /> SKETCH ! <br /> IWork to be donel <br /> j I <br /> � I � � <br /> I', �o� ' <br /> _ <br /> i i <br /> � � ` �.— <br /> � — ._-- - _ __ _- <br /> � � p I I -- <br /> i I .�3z? 1-�� <br /> � I `"� Z <br /> I � , I <br /> , <br /> �� �� <br /> Io _ _ _____ _ -- <br /> � _. - _ _ __._ <br /> , T=�a�,� �� <1 <br /> �, � � �� `� '� 1'/��� «,,-r,- <br /> ��� �. � ���� �:.�,� �'l,,, � <br /> � � <br /> , � <br /> The undersigned owner hereby agrees to hold and savc harmless the City ol Variance Required <br /> Everett from any ond all clai�ns for damages that may arise because o( the Yes....._........_........... <br /> inslallation and main!enancc o( the improvement herelo applied for and <br /> No._____..._.....__... <br /> furfher agrees to remove same upon nolice Irom the Cily and lo replace oll <br /> public properly damaged Ihereby. � <br /> ,._�"/�d�x � ��n7� - <br /> DRIVEWAY SECTION =- - <br /> { <br /> ._ ".*,_' � ; ,� ,`— <br /> NO SCALE Signaturc o1 Applir�nf <br /> �— /� , � � - - - - l <br /> �� ' `'r.: / ,->��r t _1 �:: . / /`L.�� � <br /> � L�P � Ad�Yress . <br /> �30" I L30" <br /> ►�� �I- ' �:'� _ ' �, .', <br /> Telephone Number <br /> �l ' (il { :1 �- � J,J <br /> ��C � � .-;. .. .. � Dale <br /> L� t� .�'_�^ �� �co � , - . - <br /> Inspxfor's Signafure �L� S 2� ���;, . ,�-' _�. �% , <br /> �� � (` <br /> S/T�, �.5/FCKE.[� .�-/�`73 � 1 � � F� <br /> ` - <br /> Dale ` � � �� - . � . - <br /> DEPT. APPROVAL' <br /> 7 �7 <br /> Remarks Cngin e // '���`s i 3 <br /> Waler � %. 2 —/ �- "�3 <br /> $Ireet �i�� � /".�L�� 1� <br /> Communicalion;�:� '��-; " •_'T':'.-- ..-w�..._ <br /> Traffic =� `'�' r7" � - <br /> Planuing , .' � '�� - ' <br /> >r�! tv,�TER <br /> � �� �.�..��irr, LiNE � i <br /> ��T. . � , . ., � , r.�,^,.., �„�,,. - � �- �. <br /> u<o.4. <br />