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F i�i.�-'��: <br />C _ ., ,��t=�..' � -.� _ <br />The Undersigned ��•J �'f �' �L�%}�=% �' Date Approved <br />H�reby applies for permission to�.�NS %/� i/G ! ��/ i�l� P/�/1 i-!� � r:,' `�''; i k%'•;' ___ <br />At fhe following lomtion�l ��— % T� <br />SKETCH <br />(Work to be done) <br />7'" AVC <br />The undersigned ovmer hereby agrces to hold and sove harmlesz the City of <br />Everetl Irom any and all claimz for domages Ihat may arise because of Ihe <br />inslallation and maintenance of the improvemenl hereto applied for and <br />fvrlher agrees lo remove same upon notice from Ihe Cily and to replace all <br />public property damaged thereby. <br />DRIVCWAY SECTIUN <br />NO SCALE <br />i� '�" -�I <br />� LIP <br />r30,�1�� �2� — 30�� <br />�- ; ,� <br />� �" � <br />Inspeclor's Signafure <br />� � i= ( .✓C� � i-,-. _W_ ^ r, -/ .; <br />Dale <br />y9 vr� <br />7TH a �� <br />a <br />I'. ` ' � ��� 1 <br />'t <br />�,-cTE i SC'Nd i .,�V <br />L✓�E'N ,-�i.Y,�.:.v:r�7 7� <br />%3�8 ' 7>N qt/C r-' <br />✓�.s'�:�r.�i /`'/Ga_:�.ELc, <br />�.�C:i = i.L�c :�iC �i i'�'�.' /`.:-r"L ih�i' /J.' %�:G.'G�,?.—fs!�•v <br />Remarks <br />i,yf'� -�%' � �� ` v :GLi <br />N�W DRiYE WAY <br />Varia�ce Required <br />Yes. . . _. _.... .. _......... <br />No__.........._ _......... <br />�) <br />/ �J �/ <br />,L�. / i� � _ /`, �� �..�s� <br />' Signalvre o( Applicanf <br />_� ; �-f/-. <br />:i�f,�. �t a-� <br />� ' Address <br />�,e,�, ,. ��,, <br />Telephone Number <br />Dcle <br />5 l i� � � � �-,1- <br />----- �. ,.'.�" % <br />;� <br />Fee <br />.. ' ���,�!" '� !/11/�.� <br />DEPT. APPROVALS/ <br />eJ� �/ � � c. . _, .. _ . �. � <br />Enginter /! 'L ��L��- �J c�-7 —,' � — <br />Water_��• i,y !Gf'i���ii% '^��.I � �� <br />�'� Sfreet �% ' ' �� <br />Cn�nm� 9i�cli:-.ns.-_ "__ � .- . J <br />