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li�eej,_ 't <br />Try I& <br />�� SF. <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 />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice frr.n the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />r 3011 _1 321V <br />/d <br />Inspectors Signature P7 c <br /><"" 27-73 <br />Date <br />NCi i t <br />Variance Required <br />Yes_....___....._..... <br />No <br />lGa ' U <br />Sigr ture of Applicant <br />Address <br />Talephon�a Number ''7 <br />Dote 7 <br />'1EGtDlTs �. G'� <br />L - 27-%3 <br />MDEDE i. APPR Al5 sr <br />Engineersr ` Z4-73 <br />�. �.%4 .7 <br />Water <br />Street <br />Communicatic <br />Traffic 31 <br />W. w <br />