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Q <br />Sr <br />z <br />SrALA <br />PAOFbsEr� �>oaUCr� <br />3ta" N tGFr -1. <br />n s, r•+ s r 3 <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installalion and maintenance of the improvemrnt hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />r � <br />+I" LIP - --�� <br />L30" _ 30"_I <br />I _ i �1 <br />Date <br />Remarks <br />N <br />N <br />Call Engineering Dept. i',. 1j NOTE <br />24 N(urs before tvlTfa WATER <br />conslruct�n is started, rGR VIATLP% LINE <br />:S [Yr <br />�f :0, etrorz[ ,A <br />van <br />Variance Required <br />Yes ...... <br />No <br />FREL' /Q/4 �rvli��l`r!j <br />Signature of Ap lic t <br />9�/ �37n Sr <br />Address <br />er Telephone Numb <br />-._C,_7 j <br />Date / <br />Foe <br />3•-�I-�3 <br />Engineers <br />Waled. <br />Street <br />Traffic \.CJ-. 'UY• / :• ' :� _Z <br />Planning <br />