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City of Anacortes Application for Q4, In <br /> ENCROACHMENT TEMPORARY INTO <br /> PUBLIC RIGHT OF WAY OR PUBLIC EASEMENT <br /> Street Address of Proposed Encroachment i ) (A.2 ,)--Tv <br /> Name of Property Owner(s)as they appear on the property deed.A copy of the Property Deed <br /> must be submitted with application. (Please print) <br /> Applicant(s)Name } - } " t: Phone 7 I') <br /> E-mail address (II Ove <br /> (`? cLc c; I COT, <br /> (Please Print) <br /> Mailing Address: c9 9") , ;''"s j Cva.}E�, ,L `fSvui <br /> Legal description of property,be specific and attach property deed with complete description. <br /> Include Parcel Number_ <br /> l6T' LOC rcbt,110A? TES ,k 1CP.a , vi ,,) <br /> Please give a detailed description of the proposed encroachment. Include the <br /> dimensions of the encroachment off of your property line and into the City right of way. <br /> Use additional sheet if necessary. <br /> 1e.J2c,Ac ru\ ,� w11..X— 3E - FeET 1t— w1P --) #6.94,Rtvc. <br /> 12 . 4' . Mw1/4-ti wtt-A-. I t% fi:;21Dri, F331 -k_ <br /> OF,J `c\NV 5‘0a,1•111- 90-v jt1J : • <br /> NQ 512t, <br /> C'D <br /> q v <br /> sr, c SjD <br /> c' w C? 6:7 <br /> S 7 Q) ci <br /> ® RY SA <br /> co <br /> c 1 3 v C] <br /> O <br /> r <br /> Revised 6/26/2018 Lu E o ,'i 1' <br /> a 4 E `' a- <br /> co E n .- <br /> E) O >, 18 LL <br />