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',%Vj l� ��1' ; �` ��,'_ �`, ' _ <br />The Undersioned / . <br />- Appmved By ' <br />7—�/— 77 <br />Dale Approved <br />r �� � �; � }, � �,� <br />Hareby opplies for permission fo � . �a � .i ' I , F� f ,-, �, > > '.;��, ,.a , _ � J ,�! <br />At fhe fallowing location � 3 � � .� 3 1'� Fi �j�=, �d <br />SKEI'CH <br />IWork to be donel <br />i <br />� <br />'� / <br />/ <br />� <br />LET <br />530� <br />�', <br />��� � z <br />�\ <br />\ ' <br />C <br />The ordcrsigned owner hereby agrecs lo hold and save harmless the City of <br />Evertt from any and all claims for dnmages fF.al may arise becaose of the <br />inslollalian and maintenance af the improvenienf hereto applied for ard <br />further agrees to remove same upon nalice irom Ihe City and to replace all <br />pu6lic property damaged tLereby. <br />DRIVEWAY SECTION <br />NO SCALE �I <br />�— %Z 5 --+� <br />I <br />I" LIP <br />r 30'.T. _ I _3p�� <br />Inspector's Signalure <br />✓�r i�in.�'�i� ..r /� - ;�s� <br />Dofe <br />Call Engmeering l�e;�i. :� <br />24 Ncur> !r-f;r.; :. <br />C085ttuCticn i�_ 1 <br />PROVIDE FO{? <br />,�� PROPER URAINAGE <br />I <br />/}/C� ��,C?G, /.� <br />f <br />Variance Required <br />Yes..___._._... ._..... <br />No...___._._._....__.. <br />��ll.,, � ��� <br />$ignolur of Applicanl <br />�3ia 5����N�L A��, <br />Addres; <br />.�i5S=7>�i-� <br />ielephone Number <br />�,�tY7� <br />oa�o <br />�a <br />a ��`- �- Pa ti-�� <br />1"-�- � �'� � <br />��+. � %'� F"� <br />DEPT. APPROVALS <br />� <br />Engineers C � >. C �` '/ i'� <br />Waler <br />Slreet � ` ':'[: �. '-':� �-- �„-.<..�-� <br />i <v i <br />Commonicolions - �� -.E-« <� <br />Tra((ic <br />Plannin �"'�,�j` �- <br />' t�10`S�� <br />CHECK W�TH WF,�,E�. <br />fJEPT. FOR l^h1T!:R � �r.;, /;-• <br />I � <br />� i '„`T�/� . �j . - � <br />` . .� I I(��` _ <br />Av:O..(�.. <br />