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<br /> Permif No. ...__--_----_--••---------. eVel'e�
<br /> APPLICATION FOR DRIVEWAY PERMIT
<br /> CIN ENGINEER$ ?-t r�-� �� S'��
<br /> EVERETT, WASH. � Approved By '
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<br /> The Undersigned -! `Y�`J l '� ' = j`--��• �' }'�.� `-' :-� �'-� _ Date Approved
<br /> Hereby opplies for permission to---�'� ' U� I �'-^ h� `;: 't-''�i-{ ' ' � , '�"_-.' .',`,.' }
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<br /> At the followmg lomtion , _
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<br /> The undersigned owncr hereby agreei lo hold and iave harmless fhe City of Variance Required
<br /> EvereO from any ond all doims lor domoges thal may arise bewu�e of Ihc Yes .. ... _._. .. _-.
<br /> inslollalion and mainlenancc of ihe improvemenl hereto applicd (or ond Na
<br /> lurther agree: lo remove same upon nolice from Ihe Cily and lo reploce oll
<br /> public properly damoged Ihereby.
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<br /> DRIVEWAY SECTION � � {� �- ,,> > �
<br /> NO SCA�E ' �Ignawre o( Appficanr• —
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<br /> ,�DEPT. APPROVALS
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