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R , WASH. ` Approved ey <br /> �, �, ' I � � �} 6 - %�- ��`� <br /> The Undersigned�l�C.+��'� ' " `�� �— U �`� � Da�e Approved <br /> i , t <br /> Hereby applies far permission to.�rC� N �T�`` � � � �'�'� � 'D� ���� . D � ��J � �� �c� <br /> At the following location— 2 �� '��� -rM+ .�-�-'�' <br /> SKETCH <br /> (Work to be donel .--. —•-- <br /> —� — — — — ��-r/f — — — —S7 — — -- _ _�Dc,6 04' Gt��D ST, <br /> �' —�— — <br /> � � ' — — — — — — - <br /> — — — — — — �._.�--,—__-------- <br /> I <br /> I <br /> � � ZO <br /> sP� <br /> I Na <br /> SCALE <br /> I <br /> i <br /> The undersigned owner hereby agiees to hold and save harmless ihe City of Variance Required <br /> EvereH from any and all claims fo� domages that may arisc bemuse of Ihe Yes. . ... ... . . . .._.. <br /> installation and mainlenance of Ihc improvement herelo applied for and No. .. . ... . .. <br /> further agrees to remove same upon nolice irom the City and to replace all <br /> public preperty damaged thereby. <br /> I <br /> DRIVEWAY SF.CTION ;� � ( 1' � =; ,-j„ . � <br /> N� $CALE ' � Signature of Applicant <br /> � � g� � � ', ,` __/ ; =_---- <br /> +��� ��p Addro:s <br /> ��0'!L —� i,Ir 30�� '.� 7 - �nn- t 1 — <br /> �I— Tc/nn6a N.,,.d..- <br /> G= - ;; - /�% 7 �/ / <br /> Dafe ��j� Li/!-. �f� <br /> 'S'.' . rr)-!�.�=���� /y f'�✓�: ��i ;�/ . � i �/,��j <br /> S � —_'� `✓ '�`' <br /> inspecfor i Sig�alure � <br /> �f i <br /> +�.��'c. U 1�����.. Fee <br /> i � I <br /> /'r r��%�� �.. �/.1 - J% �..,-� �—�Cf.. <br /> Date <br /> DEPT. APPROVAlS <br /> .._ Engineers._..L- 'e�., . /%1 l�'� C5�/�/" �'�� <br /> Remarks KWoter << T�"�� <br /> Sfreet_� � ''� ' p✓ " <br /> ` �, . <br /> . - -� -- -- � - Communicalio "�'��..�- "r <br /> �.°3'�-��-,!=., . �_✓,:i�7 -.- <br /> Traffic <br /> Planning Y' r� �' /�� '�� _ <br /> i i <br /> -------- ---� <br /> � PRiiVIG'c. �OR <br /> i t'ftOP[R ;��i?INAGE � <br /> Cail tngmeering Uept• r`_�9��-'��,� ^ ;=,.F,',�� ( <br /> 24 N� , i � <br /> ` ,�„ore ,IiCCK VIITH \UATEk< <br /> CODSiNCt�' • S �• ' ��T. FOR V�'ATER LINE n� , �� <br /> '� ��,�" _ ; .��.��-�- <br /> —.��,,r,r cy(.c.,,.- �;,;, ��T. ���o�. <br />