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z � - <br /> Permit No. - �?_.^ . .. /.-. eVe�E� <br /> APPLI�A?ION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> �FRf�, W/15H. Approved By <br /> ��/� l� �� 7"� • ��--I-1�J `J 1`1 �J L.�� Dnrc ApProved <br /> The Unde:signed <br /> coNsr�iuc-r /// wAT��.. U�,�-- ini 33 �'" A�,� . G�✓. <br /> Hereby a� olies for permission fo — <br /> - -- <br /> At the following lomtion_ 3 � ` � �^v� D R • <br /> (.�/�)tJ�' ,�h. ^� <br /> SKETCH � / � <br /> (Work to be donel ��— / -�l � <br /> 5 � � f � � <br /> r �/ '-' <br /> Q v <br /> � / ro <br /> � <br /> M � <br /> ZS � M/ � � <br /> E,Yis <br /> ���V� <br /> N� I <br /> sca�r <br /> 33 � o .Ut�,� �u�r�-.� <br /> wn�E— � Gi�u� ; <br /> r„ / <br /> �'1,��.Es �3-/G `� � 6� ��4, <br /> ���F �� <br /> �-�.�v 'T � <br /> Thc undersigned owner hereby agrees ro hold and save hormless the City of '�/ Varioncc Required <br /> Everelt from ony and oll doims for domoges that moy arise becausc of the i�L � � Yes . . <br /> inslalla�ion and mainlenance oF Ihe improvement hereto applied lor ond �i�L� �� L No . <br /> lurfher agrees lo remove same upon notice irom fhe Cily and lo reploce all , Y /.-` �4 <br /> public property damoged Ihereby. � � 1/ � I � I <br /> � � � <br /> �- DRIVEWRY SECTlOy,.•"'�� I� I �/�y� `�1' {�� I ��'', j I <br /> NO SCAL�� \ I � � � h �r � 1 ! Signalure o1 Applimnf <br /> �� �' � <br /> � LIP 4� ,�/��f� �� Address <br /> 30" 30" 1 ��/9 � �✓ <br /> � <br /> �' � !� �-~ ��� � '�' ' Telephone Number <br /> � ' I r'� <br /> � �V <br /> l <br /> Dafe <br /> ,�o ,�`=E-E- <br /> !nspedor's Signafurr �) 1 J' E '�� <br /> / / <br /> � �f�a.ti'i /` � _ Fee <br /> Dote ��� �;1 l 3'�'�-� r� .`� � . <br /> V� <br /> DEPT. APPROVAlS <br /> Remorki Eng:ncers � ' <br /> G � <• ,-c <br /> W�ler_ - —�— <br /> � �i/ <br /> :r,eef ��.°_f�� . �) t4d a-ti ' <br /> __ _... __ __-- _—_. .--' '_ _ _ —' . / . <br /> _ ____—.—_. _ _ ., . _ .�r:" ' .. . . <br />