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EVEf,ETT, WASH. Appro.ed ey
<br /> , n n �ry�,N 5 7- /�;' n oate Approved
<br /> The Undersigned— �R ��� -
<br /> Hereby applies for permiszion to 'iUS r/P G-L 7�l�'�Gt+V✓ � //L' `'i'N G� �<-',.1 TEl� L, ie(Jc-
<br /> OVc(�' ��S �5 �iit/c �. �TY �'/C, /�r o� • ��7_Y'
<br /> At the following bmtion �n T �- i3[ c c � �'/G ,C/T S-F/ �l�f �✓c'�2�5 3 i// (,C'�d v� �>�.�-
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<br /> IWork to be donel ��> '"5 3 �Plj. ,d'f7/'1l't��( . -rf S o � _ -
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<br /> �.NP.�I� G�NG I '
<br /> �tiT � • 13Exr��lv�� �>iz�vFc� NC �J�LE
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<br /> The undersigned owner her�nby agrees to hold and save harmless �he Cily of Variance Required
<br /> EvereO from an� aud all daims for damages that may arisc bemuse ol Ihe Yes... ... ..... . . ._...
<br /> insfallalion and mainlenance ol the impro�emenl hereto applied for and .� No .. .. ......
<br /> (uriher a�rees to remove same upon notice 1rom Ihe City and lo reploce all � , � '�
<br /> publicpropertydamagedthcreby. ;�'��, � �� ��,������ '� �
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<br /> DRIVEWAY SECTION 'I/ 1 ��1�1,��G ,� - �{'/�✓(�.�.c-_ '���n���.C•J�1�t�i",
<br /> NO SCAL� �� L,% J 'IJ /'`�, Signalme o/ Applican�
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<br /> I'� LIP � �.1 .5' I�V � '2� �, ! Neiytr fI �/ ct��w�
<br /> � � � 3� � �� ��. ���� Address
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<br /> DEPT. APPROVALS
<br /> Engineers - � ' -
<br /> Remorks N'alcr.��� �.'��: /L,�'�-
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<br /> , '.`.;: CaJ Cng�.icari�i.; ��pi J59fio{;y :;u. _. � '�:;,�..,.�,G: I
<br /> �_CK W1THW�'fEi� r4 Hours betore � !
<br /> �"_ �OR WATER LIP7i c ':G'n' ?i f:, .'1r!e1, C
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