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EVERETi, WASfi. ,;fy �proved By <br />� '��=�L �i �Y/- �- <br /> T . - - � � Date Approved <br /> The Undersigned ' '� � ' - _ — <br />. r, � :: � <br /> /rl.�S'rIz � '� � � ) ' ;��' �I�•` J�� . > <br /> Hereby applies for permission to , <br /> At the following location <br /> ��s�c -- r���'�` sT <br /> SKETCH - --- - ------ ----- — ----- <br /> IWork to be donel <br /> }�f� 1 I�E -r� i, <br /> ' �'."l`-`!'' : 'y,'/;' -. <br /> / � � <br /> .�, :� , <br /> ----- - - -- <br /> -- ------ x � x x <br /> - - - <br /> — - ----- – --5--- 5— s—s --� . . <br /> g s � � --O s - ; <br /> � ��_�_. _ '�tJST�l�-C. �"�;r'�-��=(� �f ; <br /> A� <br /> � Nc r� P9�,C/,�/G F�f�:�. <br /> � -- i ���O �Fi�'�i� % <br /> r <br /> r <br />� � j I �i <br />� ' ' � <br /> � ; <br /> , , <br /> � <br /> The undersigned owncr hereby agrees to hold and save harmless the City of Variance Required <br /> Everell from any and all claims for damages Ihat may arise because o( Ihe Yes..... ........_ _ . ... <br /> installation and mainlenance of fhe improvemen� herelo applicd for and Na .............. .___,. <br /> further agrees to remove same upon notice from the Cily and to replace all <br /> public property damaged thereby. <br /> /_i,,v �['F"=�:,�:� ._ <br /> DRIVEWAY SECTION ��;y���i �:���,,,,r� .'f <br /> NO SCA�E Signature o! Applitanf <br /> � � � � ~� �rtv " �(O�� <br /> I" LIP ~ <br /> Address <br /> ,:'• <br /> �� �� <br /> , c � <br /> �30 � 'T�30 �1 .. Z s9� � 3 "� <br /> ielephone Number <br /> ..., ,+._^ %''� <br /> � 7 �Q��7- �� Dat��/�- i_� <br /> ,� '` ` ' D � � � .�- r�a '_ ' <br /> �J/dti�^ e �� j� • <br /> (nspecfor's ignalure 5 � . <br /> ��� � /,..� / � ;��� Fee � <br /> ��%T� �i���C.%�i��' J'"2-.Z3 , �.:�`".�- D , ,;�,�''.r`.,.� <br /> Dafe 'j✓.-'„i�-�,3 <br /> -EP PP�/ ALSy <br /> Remarks 9 � �`�'"� -� . -/J <br /> En inec <br /> Wa�er � 1 <br /> $�reef i;"�is ._. %i:�c.a-�-Z,.._. . <br /> Communicalionz��-Z+^"'"f%a-'j \. <br /> imHic �� : ; Z_ .._ : 5_.- ,_ ,.. � . <br /> Planning `'-��'" " - <br /> Call C� F�� ��,� f�� ��;t. 2�9•3803 ` �1���'E � i �,u'v�v_ .:, <br /> '�C Iloiir:; b�iofe GH[CK.YJ.ITN 1NATER PROPER DRAINAI�'E <br /> constructinn is started. DFPT. FOfi WATER uNF , <br /> --, ' Jt,`ATIO��S E3EFORE EXC�UATIOPd <br /> � '-� i , ,�� . <br /> �-_.T.-.: <br /> _.___ , , <br /> { . . - ---_ . ._. . . � eao.�. <br /> 1:�.�._..- _ . _ . __ . ._ . . . .. _.�. - - _ _ — <br />