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EVERETT, WASH. <br />The Undersigned �t' ',� � � '�� � �- _ �S � <br />/ . � "• <br />� Approvod By <br />� �/�..- <br />_ �i-=Pi �.��RE"F "';�"/, /' �'",- <br />Date Appraved <br />- � r, . r - _. r <br />Hereby applies for permission lo : J >> > r ` �' _ f _• =� ' ' ) % C ;=' '-' �' '-" � —., <br />At the following location � 3 0 ( ;� ���! l c� {'t \ i � <br />SKETCH <br />I�York tn be donel <br />� <br />�� <br />The undersigned owner hereby agrees lo hold and sovc hormless ihe City of <br />Everell from any o.�d oll claims for damages thal may arise because of the <br />insfallotion and mainlenance of the improvement hereto applied for and <br />furiher agrces to remove same upon nolice (rom the City and to replocc oll <br />public property damap�d thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� � s' � <br />I" LIP <br />�30��'�— — 30�� <br />� ���.����- � v� � <br />Insperfor i Signafure . <br />7iT•;: i: %�!r' G� .% y -/ " ' - <br />Dafe <br />.tn �.^-.� % . <br />n <br />Sn���.11> <br />4r vA t,:iH �u i�n <br />��r� �� ^ � �a ur•r <br />�i��. - . r r��.F\i��ll:���V <br />PKOV/OE �z�� CUGG%"F�7- <br />�O� Dh?AiNqG _ —�. <br />.� � ): = <br />Variance Required <br />Yes <br />No_ <br />i, . <br />Signalurf of Applimnf <br />, : � �,% n f�� ,_ <br />, s-.. i� ���t��,� <br />Address <br />l•i � _ � <br />Telephone Number <br />i <br />-- ' �j y ��� / <br />Date % �: <br />a :_-�> ,�tin i-�. c , <br />, � _", . �i ' - 1 `i � "� a- <br />� Fee _, / <br />, :,�,�, �� �i��, <br />>-i 1 '-7 2 <br />�DEPT._ APPR04AL5 <br />i/' / � / <br />Enginecrs _ <br />�C�L:it�-_.j '� - �'� � i� <br />wa��� T. To n,.., ��i3 <br />si���r <br />� <br />Communicn ions �v�-S ; _ _ _ _ ' <br />TmlFic �`�•/�� _- - - `7z. '- <br />Plonnin8 -E�E "�. .J��� � <br />� <br />���.�. __ <br />�� <br />