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1011 BROOKMERE DR.PDFiiiiiiiiiiiiii 10445 1011 BROOKMERE DR NOW No T M- ���WTREET FILE aY o 197- A/rz� . r .EDfriJ�.ID .00 s B Y� 110 j v - Ado 7- 0 00086 f4om3famsy(r) ISQ140wqg Isalm(Z gm9wxoollg 1101 •bf IAQVNH •d 1414of sew U L. mAy 10 1971 Cl ► Y OF ONDS By w TAX ACCOUNT/PARCEL NUMBER: _ _Z7 0324 p Q?-I ra 6c)0 BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS1f is / 61 --- I DETERMINATION: ❑ Conditional Waiver AStudy Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA' PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DA' LOT: BLOCK: L:\TEMP\DSTs\Forms\Street File Checklist.doc #P20 Critical Areas Checklist cAFileN°:©�-o0 7 Site Information (soils/ topographa / hydrology/ vegetation) 1. Site Address/Location: / .o p 2. Property Tax Account Number: L7i1 ��J Z�+op?D500 3. Approximate Site Size (acres or square feet): 9'0- 4. Is this site currently developed? yes; no. If yes; how is. site developed? 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally. less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet over. a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round sta-ing water: ; Approx. Depth: 7. Site contains areas of seasonal sta�ang water: ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. Site contain-cr6' eek o an area where water flows across the grounds surface? Flows a year-round Flows are seasonal? (What time of year? --- 10. Site is primar=qrested---- ; meadow ; shrubs ; mixed rlian landscaawn, shrubs etc 11. Obvious wetland is present on site: For City Staff Use Only 1. Plan Check Number, if applicable? 2. Site is Zoned? Rom— I �) I SCS mapped soil type(s)? 5— Nde:axnd- U� :.r, 1�,.,a% ao�rr,`e l'� A,— R, % n4 apta . 4. Critical Areas inventory or C.A. map indicates Critical Area on site? 5. Site within designated earth subsidence landslide hazard area? j�(o. ''`-z` �"`� f'�e,�c.e ►fly 'P�«' I A�A<zy, ��tr�� � DETERMINATION h5 TUDY REQUIRED WAIVER Reviewed bv: l/ i DatP- Kre • #P2U otO City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 log 1 g90 Fax: 425.771.0221 The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of the application to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys). Date Received: % 1(0 t ©8 City Receipt #: Critical Areas File #:rZ00 (7 O - i Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: 7— �Z3 �S' A property owner, or his/her authorized representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its a ents or employees. By my signature, I certify that the information and exhi i here 'th submitted are true and convect to the best of my knowledge and that I am authorizedp-€le thj$ applicatio the ehalf of the owner as listed below. SIGNATURE OF APPLICANT/ DATE 1-- / b 0-9 Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and th71W of the City of Edmonds to enter the subject property for the purposes of inspection and ppsting atjgn4t to this licaoon. SIGNATURE OF OWNER {'�r=% \L DATE PLEASE PRINT CLEARLY Owner/Applicant: Name (1 .3� /� wtc- Street Address t7p w� /J'25) W !°t--- �r�D 0 Z c� City State Zip Telephone: _ !�'Z / Email address (optional): S S�,D Applicant Representative: Name Street Address City State Zip Telephone: Email Address (optional): • • CITY OF EDMONDS CRITICAL AREAS RECONNAISSANCE REPORT Site Location: 1011 Brookmere Drive Tax Acct. Number: 27032400215000 Determination: Study Required Determination #: CRA-2008-0077 Applicant: Scott Centala Owner: Scott Centala CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED During review and inspection of the subject site, it was found that the site contains and/or is adjacent to critical areas, including Geologically Hazardous Areas, a Stream, Frequently Flooded Area, and Fish and Wildlife Habitat Conservation Area, pursuant to Chapters 23.40, 23.70, 23.80, and 23.90 of the Edmonds Community Development Code (ECDC). GENERAL CRITICAL AREAS REPORT REQUIREMENTS Critical Areas Reports identify, classify, and delineate any areas on or adjacent to the subject property that may qualify as critical areas. They also assess these areas and identify any potential impacts resulting from your specific development proposal. If a specific development proposal results in an alteration to a critical area, the critical areas report will also contain a mitigation plan. You have the option of completing the portion of the study that classifies and delineates the critical areas and waiting until you have a specific development proposal to complete the study. You may also choose to submit the entire study with your specific development application. • Please review the minimum report requirements for all types of Critical Areas that are listed in ECDC 23.40.090.D. There are additional report requirements for different types of critical areas (see below). • Note that it is important for the report to be prepared by a qualified professional as defined in the ordinance. There are options on how to complete a critical areas study, and there is an approved list of consultants that you may choose from. You may contact the Planning Division for more information. • General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110 through 23.40.140. STUDY REQUIREMENT — EROSION HAZARD AREA It appears that this property contains or is adjacent to an Erosion Hazard Area. Erosion Hazard Areas include: • Those areas with Alderwood and Everett series soils on slopes of 15 percent or greater. • Any area with slopes of 15 percent or greater and impermeable soils interbedded with granular soils and springs or ground water seepage. • Areas with significant visible evidence of ground water seepage, and which also include existing landslide deposits regardless of slope. �1 - - �4 - . 0 0 DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS Development within an Erosion Hazard Area must meet additional criteria. • For erosion hazard areas with suitable slope stability, the only critical area study needed is an erosion and sediment control plan prepared in compliance with the requirements set forth in Chapter 18.30 ECDC as part of the construction documents. This option is at the director's discretion, per Edmonds Community Development Code section 20.80.050.G. • In areas where the slope stability is not suitable, projects within Erosion Hazard Areas will require a report by a licensed Geotechnical Engineer or other qualified professional. Note that it is important for the report to be prepared by a qualified professional as defined in the ordinance. • Report requirements are given in ECDC 23.80.050, and more generally in ECDC 23.40.090. D. • Development standards are given in ECDC 23.80.060 and 23.80.070. REPORT REQUIREMENTS — STREAMS The subject property contains and/or is adjacent to a stream. • Streams are areas where surface waters produce a defined channel or bed which demonstrates clear evidence of the passage of water. Streams need not contain water year-round. • Streams are regulated as types of Fish and Wildlife Habitat Conservation Areas. • Streams are classified according to whether or not they run year round and whether or not they support fish populations according to the classification system listed in ECDC 23.90.010.A.1. • The minimum buffer widths for streams vary depending on the type of stream and are listed in ECDC 23.90.040.D.1. • In addition to the general requirements for Critical Areas reports referenced above, specific Critical Areas report requirements for Fish and Wildlife Habitat Conservation Areas are provided in ECDC 23.90.020.A to C and additional technical information requirements for streams are listed in ECDC 23.90.020.D. DEVELOPMENT PROPOSALS ON A SITE WITH A STREAM Development proposals that encroach into streams or their buffers or building setbacks may be allowed through the approval of certain processes. The width of a stream buffer may be reduced through buffer enhancement through the review of a Stream Buffer Enhancement Plan that meets the specific requirements referenced in ECDC 23.90.040.D.2. The maximum amount that a buffer can be reduced through buffer enhancement is 50%. A buffer may also be modified through a process called buffer averaging. The criteria applied to buffer averaging are listed in 23.90.040.D.2. The maximum amount that the buffer width can be reduced at any single location through buffer averaging is 50%. Development proposals that propose encroachments into buffers beyond what is allowed through the above methods require a Critical Areas Variance or a Reasonable Use Exception. If you think that you have a proposal that may require one of these processes, please contact a Planner for more information. 2 STUDY REQUIREMENT — FREQUENTLY FLOODED AREAS It appears that this property contains and/or is adjacent to Frequently Flooded Areas. Frequently Flooded Areas are those areas identified on FEMA Flood Insurance Rate Maps as areas of special flood hazard, which include those lands in the floodplain subject to a one percent or greater chance of flooding in any given year. Frequently Flooded Areas are further defined in ECDC 23.70.010.A and B. In addition to the general requirements for Critical Areas reports referenced above, specific Critical Area report requirements for Frequently Flooded Areas are provided in ECDC 23.70.020. DEVELOPMENT PROPOSALS ASSOCIATED WITH FREQUENTLY FLOODED AREAS Development is restricted within Frequently Flooded Areas. Development standards and provisions for protection of frequently flooded areas are provided as applicable to areas of special flood hazard in the current editions of the International Residential Code and the International Building Code (ECDC 23.70.040). Conformance with the provisions for flood hazard reduction of the current editions of the International Residential Code and International Building Code shall constitute conformance with ECDC 23.40.050, Protection of critical areas, per the mandates of the Washington Growth Management Act and the purposes and objectives of the Environmentally Critical Areas Ordinance. STUDY REQUIREMENT — FISH AND WILDLIFE HABITAT CONSERVATION AREAS Since the site is located within a mapped fish and wildlife habitat conservation area, the City would like to preserve as much of the native vegetation as possible. DEVELOPMENT PROPOSALS ON A SITE WITH FISH AND WILDLIFE HABITAT CONSERVATION AREAS The applicant must submit a clearing/tree cutting plan with any development permit. Tree cutting and clearing of native vegetation shall be limited to the footprint of development. ALLOWED ACTIVITIES Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If you have any questions about whether your proposed development qualifies as an allowed activity, please contact a Planner for more information. EXEMPT DEVELOPMENT PROPOSALS Certain development proposals may be exempt from Critical Areas Requirements (ECDC 23.40.230). If you think that a specific development proposal may be exempt, contact a Planner for more information. Planner Name ,o-" Signore 23, 2008 Date NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds website at www.ci.edmonds.wa.us. 3 APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION O REPAIRS 115-09200 OWNER-----------John-.P'...Brddy---------------------------------------------------------------- CONTRACTOR----------------------....--------............--------------....--...........------............... PERMIT No....................... ADDRESS....... 1.0 .1...Br00kmere-------------------------------------------------------------- W J LL- t 0 LEGAL DESCRIPTION: LOT No ............................................... BLACK No............................................. NAMEOF ADDITION......................................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By................---.......-.........----.............................. (425) 775-0531 (206) 622-8480 (425) 885-3566 PROPOSAL (360) 659-1170 Fax (425) 776-2189 6410 212th Street SW, Lynnwood, WA 98036 www.townandcountryfence.net DATE S, - -2 73 ,,, CUSTOMER S�; r,%'' ' "1' ,�°� RES. ,rS D MESS /01/ 1?ro0 M el,e f- BUS. CITY f un; ..� ,l t ZIP ! G? a. FAX. Quality Fencing since 1965 ATTN: CEL. ;'')G 38R —7Z55 J Length, Height 5-3 , Walk Gate . Drive Gate Fence1 Style �r CHAINLINK FENCE Wire Ga. Top Rail Line Posts, Term. Posts'j� r�v� Barbed Wire Tension Wire Concrete z � " WOOD FENCE Cedar Boards Framework Post Post Spacing Pipe Base To Grade Stairstep Facing Gate Top Flat Find Dip Tear Out Haul Away Dial - Dig yOS JOB SITE ii 7' ,T �A-17 ! i l! i - --- - - - - — -- -- - - -- r; ; I ! 4 _ a���i3OvD !Y PLa>NNiNc i X* -4 i i NJOTE — -- -r -- - -- —! — -IrA,11- — - ---,j 1 I } i i'iY'Qf�• i �' n� al !`v8sq• ` —,' I I —J 7d:- -n- .1-VI GUSTO wR RESPONSIBLE -FOR F ERE REQUIRED Customer advises and warrants that"he/she,is either the owner - or agent of the owner - of the property described hereon. CUSTOMER ASSUMES, FULL-,RESPONBILITY FOR LOCATION OF FENCE and agrees to, at customer's sole expense, defend and hold Town SI& Country"Fence,' Inc. harmless respecting claims of encroachment, claims of damage to underground utilities, and/or any'•other claims brought on account of the work hereinabove described. a CUSTOMER ASSUMES FULL RESPONSIBILITY FOR UNDERGROUND.SPRINKLER SYSTEMS. ` CUSTOMER AGREES TO"PAY-FOR'••SAIDrFENCE:IN,>FULL�UPON ,6 MPLETION! .Eurther, customer acknowledges and agrees f�iaf3fr he a ant coHectian of customer.'s:payment,obligation herreeunder is placed in the hands of an attorney, customer shall�'°p�aattorngyAs�fees and*court e_osts_ reby necessitated. PRICE GUARANTEED FOR-60 DAYS APP40-VE5 AND ACCEPTED Credit card paymentsubject to 3% transaction fee. ..R:^..RiS!?ST_ry?�4+.s' PRICE Date 20 S. TAX `0Wt,!E0frr)K!ITRAr.TnR IS RESF OruSIBLE FOR TOTAL "" " TT EROSION coNTROL AND DRAIN! GE Customer's Signature CITY OF EDMONDS BUILDING lDEPAWMEHT ;; .,. ,; WORK ADDRESS OWNER APPROVED DATE: 2,7.13 BLDC3. OFFICIAL. PERMIT NUMBER City of Edmonds Critical Area Notice of Decision Applicant: r— eXW R Property Owner: Critical Area File #: 62A.-?00go( Permit Number: v I -3 O 6 .7 Site Location: 0 I ICN�QF� Parcel Number: 10 3 Z 0 `IO Z 1 Sid O Project Description: �AC� ❑ Conditional Waiver. No critical area report is required for the project described above. There will be no alteration of a•Critical Area or its required buffer. The proposal is an allowed activity pursuant to ECDC 23.40.220, 23.50.220, and/or 23.80.040. The proposal is exempt pursuant to ECDC 23.40.230. Erosion Hazard. Project is within erosion hazard area. Applicant must prepare an erosion and sediment control plan in compliance with ECDC 18.30. ❑ Critical Area Report Required: The proposed project is within a critical area and/or a critical area buffer and a critical area report is required. A critical area report has been submitted and evaluated for compliance with the following criteria pursuant to ECDC 23.40.160: 1. The proposal minimizes the impact on critical areas in accordance with ECDC 23.40,120, Mitigation sequencing; 2. The proposal does not pose an unreasonable threat to the public health, safety, or welfare on or off the development proposal site; 3. The proposal is consistent with the general purposes of this title and the public interest; 4. Any alterations permitted to the critical area are mitigated in accordance with ECDC 23.40.110, Mitigation requirements. 5. The proposal protects the critical area functions and values consistent with the best available science and results in no net loss of critical functions and values; and 6. The proposal is consistent with other applicable regulations and standards. ❑ Unfavorable Critical Area Decision. The proposed project is not exempt or does not adequately mitigate its impacts on critical areas and/or does not comply with the criteria in ECDC 23.40.1.60 and the provisions of the City of Edmonds critical area regulations. See attached findings of noncompliance. Favorable Critical Area Decision. The proposed project as described above and as shown on the attached site plan meets or is exempt from the criteria in ECDC 23.40.160, Review Criteria, and complies with the applicable provisions of the City of Edmonds critical area regulations. Any subsequent changes to the proposal shall void this decision pending re -review of the proposal. ❑ Conditions. Critical Area specific condition(s) have been applied to the permit number referenced above. See referenced permit number for specific condition(s). /01 C(L4?4 Reviewer Signature 7 /1 /�-� Date Appeals: Any decision to approve, condition, or deny a development proposal or other activity based on the requirements of critical area regulations may be appealed according to, and as part of, the appeal procedure, if any, for the permit or approval involved. Revised 12/16/2010 _ T TANKS BY DALLAS BID AND LOCATE FORM ! NAME : Li DATE: PHONIC: 7..SS 79 AO FAX: ADDRESS: - Zd11�/- REF SOURCE : FILL: ZA `r _____ 'DOTAL DIAMETER :—q,- 2 �r OIL: LAY: /V ELEC.SOURCE GROUND COVER: OTHER NOTES : WATER AMOUNT OF TIME- POSSEB THINGS OF NEED OR TO NOTE OF / D.S � Gn pL �V J CITY OF EDMONDS --' STREET FILE -PUBLIC WORKS DLPARTMENT ,JOP 0P1)E:R Ua to Sent : 2 / 1%74 REQUESTOR: Leif R. Larson WORM. CENTER: Street Dent. I)A'� l: P«1-1''�Rf:D: 12 2B 7? REQUESTING DEPARTMENT HEAD'S rJOB ORDER SIGNATURE: FACILITY: NUMBER: DESCRIPTION AND/OR SKETC14 OF WORK TO BE PERFORMED Remove concrete slab in Shell Creek west of 7th Caspers per attached sketch. I - MATERIAL REQUIRED: AUTHORIZING SIGNATURE DATE ASSIGNED: PUBLIC WORKS DIRECTOR: DATE COMPLETED: CRAFTSMAN'S INITIALS: MANHOURS stimated actiulI JFOREIIANIS INITIALS.: -Fo STREET ILE P u 5t.< <. w o" s ocx:> rWM5 casw1w w$%-IMWM.L Is" Rl". Q Cc ftI ME'E SLA 5 CeM�TeS wAlVL T-A LA.. 18"1416fi F.Y.is-Tt w U eloX CaLvek�q C PLL *STREET FILE 2226 Arbutus Street Newport Beach, California 92660 January 14, 1974 Mr. Leif R. Larson, P.E. JPN 21 �g1� City Engineer Eo p�(itn City of Edmonds moods' Civic Center Edmonds, Washington 98020 Dear Sir: Thank you for your letter of January 10, 1974. Unfortunately, the letter did not confirm the total commitment of Mr. Nims of ,your office. Specifically, he promised to take pictures of the upper waterfalls on our property both before and after comple- tion of your work, to confirm that the waterfalls have been re- turned (or k spt) in their original aestiic' con dai6n. By means of this letter, the City of Edmonds is hereby allowed to trespass on our property at 1011 Brookmere Drive for approx- imately two days, on or before January 31, 1974, under the fol- lowing conditions: 1. 'It -'is understood that the 'work to be performed in the creek, at this time will in no.way degrade the aesthetic beauty of either waterfall, either immediately after the work is com- pleted or at some later date. 2. Pictures of the upper waterfall will be taken both before and after work is performed (14r. Nims has informed us that the "before" picture has already been taken), and submitted to us by you at this address for confirmation as to the preservation of the value of tie. property. 3. If, in our opinion, the aesthetic value of the property has been adversely affected, PTrs. Joanti'dadell of duality Homes, Inc., real estate broker for our property, will be asked by us to perform a professional evaluation. 4. If in the estimation of Mrs. Gtadell, the value of the pr():_ pert,y has been decreased, the City of Edmonds will7.assume full responsibility for returning the property to its initial value. 5. Any further adverse effects of this work will be the re- aponsibility of the City of Edmonds and will be treated as in item 4 above. Frankly, Ejr; Larson, we are somewhat confused as to speci- fically what concrete slab you are talking about. If this slab QTREET FILE - 2 - is positioned at a location remote from the upper waterfalls, there should be absolutely no effect on the falls. Please excuse the "red tape", but t%)e last time your.peiople worked on the falls, the restoration project was unsatisfac- tory and had ,to be redone. Vie were delighted to help the city solve their problem but realistically speaking, the sand and gravel etc. which flowed from the south of Caspers Street de- posited itself at the base of the first waterfall. This, the Park Department, at your request, removed, as well as restoring the fall to its original condition. Thank you again for an excellent job. As you know, we are in the process of selling our home and property, and we must be in a position to dispose of it with- out any encumbrances. Your assistance is kindly solicited. Thank ,you very much. Yours very truly, John P. Brady, Jr.,p,E. Mary ra y JPB/mc STREET FILE January 10, 1974 Mr. John Brady 2226 Arvutus Street Newport Reach, California 92660 Dear !rr. Brady: Pursuant to your conversation with a representative of this Department on January 4, 1974, this letter is to notify you of the City of Fdr.onds' intent to remove or lower a concrete slab on your property in order to clean the sand and gravel from the box culvert under Caspers Street. The concrete slab on your property is preventing proper flow through the culvert and causing viater to back into the basements of residences south of Caspers Street durinn high creek floes. The concrete slab is located between the rock waterfall and the box culvert. The total project time should not exceed two days. If you have any questions, please contact this office. Yours very truly, CITY OF FDMOMnS LEIF R. LARSnl, P.F. City Engineer LRL : rf April 6, 1971 Ar. John Brady 1011 brookmere Drive "dmonds, Washington 98020 Subjects Shell Creek culvert maintenance Dear Mr. Brady: 99MM, Pursuant to Your request, at our meeting of April 1, 1971, this letter is to notify you of the City Of Ldmonds intent to cleats debris and rocks from the box culvert under Caspers Street. The method of operation, employed by the public Works Department, will be to lower tjg,) clevatior, of the clt the debris to be rellove(t j fy ,- the ej�. This Procedure. will eniDle Jle City street crew. The rock dam or. your property located directly north of the culvert must be temporarily lowered. It will be restored to its Urifinal condition and be replaced to the existing elevation. The total project time should not exceed two days, If You have any questions, please contact this office. Very truly your.a. CITY OF !ZMONDIE LLIF R. LARSUN City Engineer LRL: cjp • O§TREETFILE INTER-OFFI WORK ORDER REQUEST DATE F1ar�h 7't' l�a'�1 TO: Ron Whaley FROM: Leif Larson Public Works Engineering Dept. LOCATION: Shell creek glowing along 1011 Brookmere Drive LEGAL: and box culvert under Caspers Street OWNER: John BradyEASEMENT REQUIRED: 1011 Brookmere Drive 774-46 80 NATURE OF COMPLAINT: properties flooding south of Caspers Street due to box culvert being plugged. WORK TO BE PERFORMED: remove rock dam,on Brady property in order to lower elevation 'of creek. Clean culvert and replace rock dam to original condition. ESTIMATED LABOR: M/D MATERIALS: (CITY) (PROP. OWNER) FIELD CHECK BY: Abe DESIGN BY: Bill Hims STATUS REPORT: APPROVED BY: APPROVED BY: DATE: March 22, 1971 EXHIBITS ATTACHED: