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EVERETT, WA�,',. App�oved p, <br /> � /�i�' <br /> The Undersigned� �'�`-`��•�F���L? -�r c.iAEl�' f,= �= _ N C o u s T. � o W N E R To N� V I l�L E L l—A� Dote Appro�ed ' <br /> Hereby applies for permission Io�D__�l�T12 U C� A 2_ N � (��� <br /> At the following location 2G i G - �/7 g <T, <br /> SKETCH I <br /> IWorktof�edonel � 1��rE : TN_T:,L�_ l£:"� CULVFF'1' U;�,Lt:R l�iv;/ <br /> � <br /> A� <br /> � <br /> �� <br /> ;�-1—�T__�---- � '+ � . <br /> ��, � (-, \ <br /> �_. � <br /> • � GAknp� , �U � . <br /> L <br /> 4�0� rw \ <br /> `� <br /> 1 <br /> ��� <br /> m \ <br /> 2oib-47� <br /> J <br /> �3• v <br /> a �,l <br /> ,, �y. <br /> , <br /> � �-, ;:� �� U �}��� n�� <br /> Thc undersigned ownen c�reby agrees to hold and save hormless the Cily of Variance Required <br /> Everelt from any and all claims for damages that may arise because of Ihe <br /> Yes. _.. ...... _. . __. <br /> inslollalion and maintenance ef the improvement hereto applied for and No . <br /> furiher agrees ro remove same upon nolice from the City and Io replace oll � � - -- � � <br />� public property damaged Ihereby. <br />� <br /> �; <br /> i� ' ' <br /> , �/`-� i•'-' ''f / .�)�"-i.�� . <br /> Signature of Appliconl <br /> ^ r <br /> ��y�o L� _ �� ,- � < . ,; <br /> Address <br /> �,l�r-�.).. . / . <br /> . �.J a.) l t�f i' � . <br /> L� t�._�/ L� �; <br /> Telephone Numbe: <br /> _ i:"i'I'��-` <br /> DofC <br /> Inspecfor's Signofure S oo i <br /> � �— �i �r� <br /> i <br /> �/:F LiYi�':C:':=',) //��l,�iC' FEe <br /> Dafe <br /> Df:Pi. APPROVALS <br /> Remarks — -�"�,-- . �,-��� ��• <br /> Engincers__ ,��� ��� l� -�� _ <br /> Vlaler �� � " �"� ' � 'i•- <br /> Streef <br /> GommUni[afions �� � N'�-�-� �-- � <br /> � <br /> Traffic f'%�� . '� - i�- '� <br /> — Planninc�_ '�fir' . <br /> J'r:Sr�a��� __ . . . <br />