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Permit No. .� � � � <br /> ..... . PVeI'E1t <br /> APPLICA'�ION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> �`/ERE1T, WA�iH. Approved By <br /> The Undersigned L1�E yEeNAEJ��,� - Ga�'�-'' i��l G'%-%% �r�^=e.,c Date Approved <br /> Hereby applies for permission to CO/✓.�T'�UC T SFWE�' ,C//�E ��J/"•! '; J %% ' t; ' �'�;��!`/G <br /> N/�rL/,/G/T L� V�f✓r'/�, <br /> �:, <br /> At tha foliowing lomlion �'L��YEEL�,'-,�A�[/SEC.' M/LL /� � � � --� �-�� ` ' I �1 «. <br /> SKETCH � <br /> IWork to be donel � <br /> � <br /> � <br /> 3 <br /> � <br /> �� <br /> -�� E ;''1�� �/��`:�r�'�q C�/ .C�.e <br /> "=�'L.E" <br /> 1/�" Tr <br /> ��� >;>�� � ;«�v � ���z � ��.: � r ��� m 1��- <<,�;��,,�<.�a ��l <br /> ���,����;<��t-=��T , <br /> il��'� �'�'���� - <br /> The undersigned owner hereby agrees to hold und save harmless the City c( Variance Required <br /> Evere�l from any and all daims for damages that may arisc because of thc "' Ycs . ___.._. <br /> install�tion and mainlenancc ol the improvemenl hereto applied for and ,_,,, n�o _.�. _ <br /> furthc� ❑grees ro remove same upon notice lrom Ihe City ond lo replace all „y.� <br /> public properiy damaged iherehy. <br /> � _� ��' , �,�, ,:'i, <br /> - Signafure of Applicant <br /> ���,� <.����.: � !; r i , <br /> Address <br /> L- 9-;p`�3� / <br /> ielephone Number <br />