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The Undersigned WA A L_ L- 7 CAaM I e NAE L Date Approved ,\ <br /> Hereby applies for permission tom1�1 STP , !� 7r - fo U-� �i � C C7 N [ I V�C.uta14 <br /> l G� -T I�-t <br /> At the following location--.-.-I -9 O <br /> SKETCH <br /> Mark to be done) O Tl- <br /> _ <br /> ' 1 r <br /> 1 " No <br /> / L $CALe <br /> o'/J I CY <br /> The undersigned owner hereby agrees to hold and save harmless the City of Variance Required <br /> Everett from any and all claims for damages that may arise because of the Yes _.. <br /> installation and maintenance of the improvement hereto applied for and No <br /> further agrees to remove some upon notice from the City and to replace all <br /> public properly damaged thereby. <br /> DRIVEWAY SECTION <br /> NO SCALE <br /> —1-17 <br /> r _� Signature of Applicant <br /> LIP ���� <br /> Addr s <br /> X30�T� 30n 34-5'- <br /> Telephone Number <br /> Date /i-4-7v <br /> inspecto s signature <br /> Fee <br /> Date -�-74 <br /> DEPT. APPROVALS <br /> 7 <br /> Remarks Engineer <br /> Wafer <br /> Street :r: G-tf G -- <br /> Communications " <br /> Traffic !� <br /> Planning <br /> NOTE PROVIDE [OR <br /> Call Engineering Dept. i;963113 CHECK WITH WATER PROPER DRAINAGE <br /> 24 Hours before DEPT. rOR WATER LINE <br /> Conshcllo'' IsIWed. LOCATIONS BEFORE EXCAVATION <br />