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•Perrnit.No.11- 3-. <br />CITY ENGINEEPe <br />EVERETT, WASH. <br />LIS <br />APPLICATION FOR DRIVEWAY PERMIT <br />IC <br />everett <br />�e� <br />Approved By <br />.-)- /- -7�/ <br />- Dole Approved <br />The vrsun,ayneu - <br />Hereby applies for permission to C'ON & T-k- • / - Z2_r_ �J I V E1JJ i�`� <br />TM L <br />At the following location �2- 1 <br />SKETCH <br />(Work to be done) i" /1-0� <br />V <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 from the City and to replace all <br />public properly damaged thereby. <br />DRIVEW.'.Y SECTION <br />NO SCALE <br />I I' LIP <br />30" <br />r -,T f- <br />N a 5c►.�>; <br />Variance Required <br />Yes <br />No <br />signature of Applicant <br />C9 Sr- AeZA&, J,?t/ <br />Address <br />Telephone Number <br />-7 ? <br />