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� <br />Permit No. ��' L.�.. � <br />-� L.-.. <br />APPLICATION FOR DRIVEWAY PERMIT <br /><, <br />�>.�:. �; <br />CITY ENGINEERS � <br />EVERETT, WASH. <br />everett <br />� ; � <br />� /� ;' <br />� Approved By <br />�S=P.-.=���= �v i9�ri�' <br />The Undersiyned � —� �-n z,T �'-�� }' "� ��� Dare Approved <br />—� " f r /� %r '. /;. = .-` -� C" a�r: . ' !�� 1 �'i%' ', <br />Hereby applies for permission to��/ S..4LL I� G• � r " , <br />At fhe following location �/�� �� `� %�L'��� � � °Y � ' - <br />SKETCN <br />IWork io be donel <br />�v <br />I 36 I � <br />The undersigned owner hereby agrces to hold and savc harmlezs thc City of <br />EvereB !rom any and all daims for damages �hai r��y arise because of thc <br />installalion and mointenance of the improvement herelo applied ior and <br />further agrees �o remove same upon notice from tl�e City and ro replace all <br />public property damaged thereby. <br />I� speUor's Signalure <br />1%Tr c ✓lEG.E'�D 9/9�1C <br />Dale <br />Remarks <br />G �'%/" <br />>�•, <br />�i � <br />�, � <br />� <br />�: <br />v <br />� <br />� in <br />��YiSl• - <br />,t G u.c� � <br />PRdPOS�D <br />CVNc, P�i <br />� � � i S f1 L,PEADf� /.(/ <br />� Gurr� <br />� � �i//DE P. G , <br />WA �l <br />s>at.= 1 "_ �_�" <br />Variancc Required <br />Yes . . ._._._.__._.... <br />No. ._ .. . . .......... <br />Signolure of App�kanf„ <br />Address <br />(� � 0 9 SYGqMORE <br />ielephone Number <br />Z'� cl "(o f? O q- <br />Dale <br />5 �j , ° `' ��D <br />^� <br />Fce -- > N ! �, <br />DEPT. APPRUVALS <br />En jincers �'�����9�9�7n <br />� / ,:� <br />Walcr� <br />Street _ _ _ _ . <br />