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"rr�it No. _:. _..._ _ - <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETf, WASH. <br />e�dereit <br />-- ��C�1� � <br />�'� Approved By <br />,— „ <br />� �i�.v= 3 � /9T�� <br />,� <br />The Undersigned '%�> " -- � `` ' �= LC� •-.G� ✓ ' %,' G �� � , Daic Appro�ed <br />Hereby applies for permission to ;: "� /v `�% �U L � /�/ T .'_`y� " ,�;. �- , � ' .• � ;., : �' , , :� �- <br />- i-��= . f ;�ti'6 ,Jii.� ��:-� <br />At fhe following localion % i, %� , . ( � �' �J�% ��• P� / � i' / • ' % - ` � ' , ' <br />� �' � ' � �! �� ` -� ; <br />_ /�J .•�. .�.. ,-,,.. <br />SKETCH <br />IWork to be donel <br />� <br />�JJ <br />J <br />` L <br />,l <br />} <br />1� <br />'�J <br />� <br />� � ^'c, <br />`, <br />�-y�� s � � „ <br />'_- n, c, . ` ; ;i,c <br />G <br />�-- -r- r--� � -s— <br />� t`. � �! <br />CG.c/ST. �3 /��i;:< fG,GI � l' <br />-- � : ; N// . f! _ YY L �:.7.`` �E �r'� '- .:: <br />�__ �C _ _ �L -. � : .�� . . <br />r ... ...,��c. �cxr ;�°✓r;�� <br />; .R <br />_._ ____.._ �. <br />`'' . �" Vi/✓v L , � . <br />! � -__ � <br />T � . <br />P�, a if/N.;� _ _ - <br />o .�- - <br />CArCH �t3AsiN.�rl L�T�—� <br />� - `; <br />� <br />'c Q <br />N <br />N • <br />The undersigned ownen c�reby ogrees to hold ond sove hormless ihe City of <br />Everelt from ony ond oll cloims for damages fhat may arise betause of the <br />insfallation and maintenancc of ihe improvemenl hcreto opplied ior ond <br />(urlher agrees to remove some upon notice from Ihe Cily and lo repicce oll <br />public property damaced thereby. <br />Inspecfors Signafurn <br />'QLr �c�,�:=� <br />P _?.c. V: . <br />Variance Required <br />Ycs .. .. _.. <br />No <br />;c; �a , <br />��L�C'i' �i. <br />Signafure o( Applicn�l <br />�i!N�rvSn��[c '%i��,�.�: t� �Nc- <br />; p� � 5 r Address <br />!I� llrC�NW.Jv 49 <br />4�'N4'YsVi[�[. Lul?i;� <br />Telephone Number <br />it s�l' .; t,�s1 <br />7u",. i� /�o _ <br />Date <br />$ /V (J /L—,C_ <br />!.� Fec <br />�?/T'� ✓L�C �fi f=�� �i .�:.G� <br />Dale <br />