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peF�,�� No.��:._��:=�.. everett
<br /> APPLICATION FOR DRIVEWAY PERMIT
<br /> CITY ENGINEERS �� ? !// I`� ,
<br /> EVERE7"f, WASH. Approved By
<br /> The Undersigned �Qti��� D �6 iU5 �r . //�'� �'• Do�e Approved ^
<br /> HerebY applies for peimission fo— 'LU� r/Q C-L ��'��'f'�'�Y `� //'v' ` rA L G «'.d?��� �, i4/�-r
<br /> DUC(�' �� i5T/A.'c r •TY �'/CldT oF �.�A7Y
<br /> At the follow ng location �0 7- � riG u c � t/C� S�F/ �I�� �� "�� � 3��� u'A��= ����'
<br /> �1Z/UE �rq � 2z � Ci• rr" - � '_ /ST/NG L c ,� "of 5i���� Gt�.ErCn_
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<br /> SKETCH �- /NL SvuTN��Te� vN ���-Ue-Lo!'�O <� %Y i2 ��/fr e% u>iJy oF Lcr�V/�Lt' i�lY-
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<br /> I I �7Z-160 � I ` I
<br /> The undersigned owner hereby agrees lo hold ond save harmless the Cily of Vorinnce Required
<br /> EvereR irom any and all daims lor dameges Ihat may arise because of �he Yes. _. _. _. _. . _....
<br /> installation and mainlenance of the improvemenl hereio applied for and _� No ,..
<br /> further agrees Io remove some upon natice from the Gity and to replace all � � '
<br /> public properly damaged Ihcreby. :�,� � .���, ..,
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<br /> DRIVEY.'AY SFCTION �� �/ � �1J �� S ��� 1', '�_E� ,,..�_ /��^�+..z��(,ttd�rG�..
<br /> NO SCAL� i�,� ,�y�l i J �� i�� Signalur^ ol Applicanl
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<br /> DfPT. APPROVALS
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