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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 />pjblic property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />`I" UP <br />Inlpecla's SVIWIMP <br />. sires cy�cer� i .n-z3 <br />Date <br />Remarks <br />Variance Required <br />Yes <br />No <br />Signalure of Ap�icant <br />Address <br />Telephone Number <br />Dale <br />= Stg€` <br />Fee <br />� L <br />DEPT. APPJIOVALS <br />Engirsee7 � /'2- IIG' %:r <br />Water - 7 <br />w Street <br />Communicatippt <br />Traffic - <br />Planning <br />i <br />