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-npprc�en-�' ._ . .._ ._. ... <br />.'T/>r3r:f ;, -.�z� fc� �y' ' . <br />�..—..�:, _�� <br />The Undersigned ',�' "_'�"=' /� ` 3 `'� _ Da�: :�pr.rcved�----- <br />Hereby applies for permission to Co��-' ' `^� �` - �' � � �" � ------`-- � —"" <br />At Ihe following location ''! � : J _ - �', -' 1 __' .J "_; <br />SKETCH <br />IWork to be donel <br />I� <br />n <br />The undcrsigned owner hereby agrees Io hold and save hormless thc City of <br />Everetl irom any and all claims lor damages Ihal may ar�;e because of Ihe <br />inslallaiion and mointenance of the im�rovement heret � applied for and <br />further ogrees lo remove same upon nolice (rom the Cih ond lo replace all <br />public properly damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE� <br />r---- I � <br />+I" LIP <br />30" �— '7'3-�1 <br />Inspecfor's Siqnahne <br />S'"iTiS_' �—/�l�c:.C,�/' �/ i�i'�'7�'�— <br />Dale <br />�ied. <br />'' - <br />-�--�.... . _ _-;,_; ; ---__—_,.�r..._�--__ <br />� <br />I_ __ _ ------ <br />-i - i<;" C'L!` ' �:, - . <br />.., ._., L;r'v, � ; ���.- � <br />� <br />'.:t.. ", <br />Variance Reyvired � <br />Yes_ .... _. _ ...... .......... <br />Na_ _.. _ __........ <br />I <br />. � � 7 �/ �. <br />/ ` f[ � ` '�`�' _ <br />_ ; <br />1 / <br />� <br />�, Lf�� .i([%.�, ./ .ft.�r.v-� <br />' Signafure of ApplicaN � <br />/(�' .i-I' �'�� C�-c;�- �:r�.CLlI �/5� � <br />ada�es: — Y <br />� <br />� <br />/- f� i -- � :� �`� �; <br />ielephone Number <br />_ �' - 7 ' L <br />M1 Dale ' <br />l�z:r (. <br />$ � —/.._.G' V','L P-' ' i.. <br />% .:� -� : r <br />�C'C. <br />�' �"� Fee <br />Eng�nec� <br />wa����1 <br />„ <br />s����f � . <br />Plcnning�_ <br />� �ti� i � <br />CHEC!! WITH V'lATER <br />�cPT. =(!H VJATER IINE <br />. . . . - +r � . . . . ," �.. ..q. <br />v`Y z�>�.� <br />9-7z <br />�.. , :ar <br />-7� <br />,� <br />erco ..p. <br />