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�• � <br /> � roved By <br /> EVERETT, V�'ASN. C�U4 VSt �a ���''<< <br /> � .7 � Date ApProved <br /> n _", / ,f;',J�l� — <br /> The Undersigned i�j�� - ' "` ~ , <br /> � '7 � �(',✓ �� 1r,� <br /> Hereby applies for F�rmis<ion to <br /> � /" �' �- <br /> � � ` <br /> �,j �j� . �:-' i i— ,?i�����/ � '� %1 <br /> Af the following bcation�__; �- ',� �f" _ <br /> SKETCH ' <br /> IWork to be donel <br /> I _—i I 3 <br /> Ir2 <br /> 98 � S'7 <br /> I <br /> I2 7__.__-- <br /> 45P�/AL7" ONG , ,o�ivE <br /> -- --- T,—,;i — ,a• -- <br /> --,il <br /> R/ VER V/L�YY ~ BO�'l_E� <br /> ------ <br /> Variance Required <br /> The undersigned owner hereby agrees to hold and save hormless thc City of Ycs.... . ._ _ .._ ...... <br /> EvereR from any and all daims for damages Ihat moy arisc hii ds fo�r nd No .... . __ ._._. ._.. <br /> ir,slellalion and mainlenance ef the improvemenl hcreto app�' <br /> furlher agrees to remove same upon notice from the Cily and lo replace oll <br /> public property damaged Ihereby. <br /> r�; Signolure ol Applicanl <br /> Address <br /> ielephone Number <br /> Dafe <br /> �� .� f. ��C'�G�,-�....._� s <br /> Inspecfors Signafure <br /> Fee <br /> —���—/ ,�7�C—% - <br /> Dofd <br /> n DEPT. APPROVALS <br /> f�t d i 5�=..� .c` iZ �` �=oil %�«-� Gir ..�� !''ay" En incers V`�iZ �� ���iv'_ <br /> 9 y, _ <br /> Remarks Water <br /> - / r � �_� L �.V/..7._�i�" Sircet ....,1 ;�1.: <br /> �y� J / � n� sL l+ �G ��� Communicalions � <br /> Traf(ic <br /> � Planning <br /> /�iI / � G 1 ' �� °� <br />