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EVERETT, WASH. <br />By <br />�7 -,T���� /��Z <br />The Undersigued �� N�%A �`�� �=-' �ate Approv <br />Hereby applies (or permission to �-'��� �` ' i � �^�. ' i�J ' -? % ",' '� �_ P _-l-J J" 1< _ :. — 7 or.) " <br />At fhe following location �� r <br />SKETCH <br />IWork fo be donel <br />i�. <br />I <br />\281 C� �/z i 2 8 1(0 <br />'>>_ <br />I <br />� <br />� <br />���o�...��._..T_ <br />No sGALC <br />� 1'�o:._7q?.,LC FLAn.. E�2S LVIT�. <br />U11"F: �.;�A(>�-� bL, 13 f12Gy ^'I._iKG:,S <br />I:� � I <br />---- - �---- <br />�� 18��- 24� �- G���-... <br />jZ oc i•_; _ �.L�: ir <br />The undersigned owner hereby agrces Io hold cnd save harmless the Ci1y of <br />hereH (rom any and all cloim: for damages fhaf moy arise because of the <br />inttallofion ond maintenance of the improvement herefo applied for and <br />further agtees fo remove same upon nolice from the Ci1y and fo replace all <br />public properfy damaged Ihereby. <br />�„' <br />DRIVEWAY SECTION <br />NO SCALE � <br />Incpacfor's Signafure <br />,5'�T .i! .-C'.��i) /l: i�-:'L <br />Dare <br />-.i f{OUi; U2?Jfd <br />. ..�;,5�� IS S:'tii.f�, <br />i � <br />'�:�' <br />A��C-. <br />��fl���� <br />0� �\ � <br />,�,������ <br />\� �,��,�3 <br />1 �� � / /1,0 <br />� �� <br />Varionce Required <br />Yes. _... ....._._._.... <br />No..._..._.._. _...._... <br />i��Gc��O � ��c�• <br />�.1� ���_�/,r� ���1�.�� <br />Signafure ol Applicortf <br />7 <br />� � I L %� � c•r� ����J �'CP� ��� <br />� Address % <br />�.,� <br />-'`_:?� -�?S�1-Cs+�17Cc <br />ielephone NumLer <br />\ <br />No�rE: <br />�-Kecs �` F'cnTITF25 M�sT �. <br />/� MI Nq.1VM cF io� FRun An. y <br />D2�vF4,wY nr�� r�Mwir,.�ri �4 <br />.^-c�PPril��; Ow*+E1z Is 2ESPnr..Sl�?�� <br />Fr,`.. i ��CF r�� f.�A,ci,Cn:l�n�t� <br />,, ,,.:A i Li� <br />� � LIPJE <br />� - � ' _ ' .:,.�qj� <br />��:�2�-G"" �-t:. � �7, �� / L. <br />Dafe <br />Fee <br />Wote�. <br />Slrcet _ <br />/O -/�-%Z <br />,•�-i �; _� � <br />Tmf(ic r'r,: r� i n-: c./.� _ <br />Planning. �� �=• -, " <br />- - - .- �',JfZ <br />. .i�' � � i iti,lli�:/�,,.,-_ <br />� <br />I_- —_--. --_ <br />`"r� <br />