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EVERETT, WrJt1. - �-' ' 'proveJ By , -- <br />�i / /�; . <br />The Undersigned__ —_ �'G� �`Y=�_� Datc Approved <br />� � i�l_----- <br />Hereby applies for permission to �� N �~' � � -n � `S � 1.1-11�G_ =-Ot 1G . t-� r?' �/FvJA `-1 <br />At the following bmtion�2'��- __ �����`l'i <br />SKEI'CH <br />IWor� to be donel <br />c,o' <br />�- <br />IJO SGALE <br />I1_fl�f 7 <br />-�_ <br />; Nzw Nous� <br />� �Zpz l <br />— — --I � Yi �T. i2�. <br />--- --- � cuwsa =� <br />L<_ <br />- / — "-: <br />_� — -- — Loc.e oF �A✓'r�- � <br />i <br />— — — — — -�- — <br />��F1 ,, � �,T _�r,sT io�, <br />/ � [,V41/6/1• <br />Thc undcrsigned owncr hereby agrees to hold and save harmless Ihe City o( <br />Evercll from any and all doims lor damages thol moy arise bemuse af Ihe <br />installal�on and mainlenance .f ihe improvement hereto applied for and <br />furlhcr ngreei to remove samc upon nolice Irom ihe Cily and lo reploce all <br />public pr:>perry damoged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� � � � <br />I LIP <br />30" _ 30�� <br />Inzpeclor's $ignature <br />D � � �� -�., /��_", •_:.! <br />� <br />0 <br />t�. J(� <br />_. , � <br />j <br />----a..- . ..— _ v-- <br />Varionce Required <br />Yes._...___. .._. <br />No .. _ <br />�' <br />$ignolure o( �pplicanl <br />�_;. / <br />� ' �i : l�.i _,���C � /15. <br />ade,es� <br />Telephone Number <br />/,J- _ .,.; <br />- J. <br />�a�C <br />S �;� =' �G..� '��d <br />' 'p/' /-I - `p _ � ` f <br />��. Fcc <br />DEPT. APPROVALS <br />Enginccrs� �� //JJ ��� �- `�-�' `� � <br />/�WatcrSL�Q-�� �— <br />$trcel .•'L� - ' �.i z-_ <br />Communimtions" � ->� • <br />7mHic ;��.' �'% . '-. �,... <br />Planning - .. <br />•�:U .�. <br />