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pprove y <br /> ' �L`Pi F.v/,t3r�''' ,�.� /�'7/ <br /> The Undersigned L �7 UA c ��� Date Approved � <br /> � / <br /> Hereby applies for permission to �' O�J ST A /� !J/LG� <br /> At the following location �� �'- �— �'�"k'E FF� � F � A\�f� <br /> SKETCH <br /> IWork to be donel i I <br /> � <br /> � � <br /> �� � <br /> �"- qo' I <br /> , <br /> ' /OZS I <br /> , <br /> i <br /> � � <br /> � � �� , • � <br /> ��— — `--- ___---- --- - <br /> i'°'� O\r <br /> R O C � � � LL L � R � VE . <br /> - --1-- -- - I <br /> The undersigned owner heteby agrees to hold and save harmless the City of Variance Required <br /> Everett from any and all claims for damagez fhaf may arise because of the Ycs..........._..___...... <br /> in:fallafion and mainfenance of the improvement hereto applied for and No <br /> __..... ._..._.......... <br /> (urther agrees fo remove same upon nofice from the Cily and to replace all <br /> public property damaged Ihereby. <br /> 311.1 �" . . �". . <br /> .ci . � � � ...� <br /> � � � Signalure�of Ap�mnt <br /> ���F �5<.7 <br /> �., �`� /�:�T ��'�; <br /> �drezs <br /> �l . �� � � .�c'-'� <br /> ielephone Number <br /> Dafe <br /> / G� , <br /> Inspecfor's Signalure g lp _ _ <br /> Fee <br /> -s17'r- �'.v r'.0 _!� 9�.2D�T% <br /> Dafe <br /> DEPT. APPROVAIS <br /> �,��,� Co.N�.�c"TE� P.C�/i�;�' %o AF'�"'�c.�?�'i7� �J�7��;� / <br /> Remorks Engineers�_=LL�,L.�' -��/*'��/�—'� <br /> Woler �� �' -- <br /> . ... . ._..._ .. _... <br /> Strcef -. ..- � _. — <br /> Commun�mtionss��' �'�=�� �- - <br /> Traffic '.1'�_i-�`h`.:/r• �"��'>j%/ <br /> Planning, ��� ' <br /> � i � . n <br /> .JT1JUl�.1 .. '. _ f.i�. __ ..___ _ � . . _ <br /> � , _ . oa,;c�nc� , , <br /> ,;.ii ��..�.li . t,���_�,� � � � „r�,i-., <br /> ,. - � . �._ .,;rC� .> pcprlF: . .-i„r, , , <br /> � <br />