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<br />� Permd No. ..1...-'-----•�+-��-"��-""� everett
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<br />• APPLICATI4hl FOR DRIVEWAY PERMIT
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<br />� CITY ENGINEERS /�
<br /> EVERETT, WASH. � ' Approved fly
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<br /> The Undersigned
<br /> .J`� � i �.. G�j 1'� �� � �=+T� Dale Approved
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<br /> Hereby applies for permission to��1� � A LS L!_l i !.7 L. ` '-`- � � '' � =' '=T
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<br /> At the following location_� � � �'= � � � r �'---
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<br /> SKETCH ---- . _.. _--- - —� �
<br /> (Work to be doncl �
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<br /> Thc undersigned owner hereby agrecs to hold and sove harmless ihe Cily of Variance Required �- I,
<br /> EvereN from any and all claims for damages Ihar may arise becouse of Ihe Yes. .___.. .. ,
<br /> installntion and moinlenance of t5e improvement herero applied for and No.._. _.._.._ �
<br /> furlher agrees lo remove same upon nolice from the Cily and to replace all '
<br /> public properly damaged thereby. �
<br /> DRIVEWAY SECTION ��11�� : ! �,,,1�':
<br /> NO SC�j � Signafure ol Applican—�f
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<br /> Remarks Enginee��
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