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10713 ROBIN HOOD DR.PDFiiiiiiiiiiiiii 12964 10713 ROBINHOOD DR • ADDRESS: jv 1l3 Rt1)bw&Qd Die TAX ACCOUNT/PARCEL NUMBER: Z 5 713 L,201 OD 5" 00 BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS: 1/3 -6O DETERMINATION: ❑ Conditional Waiver ❑ Study Required AWaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMITS) #: SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: L:\TEMP\DST's\Forms\Street File Checklist.doc City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 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: I-V/ / I u� City Receipt #: Critical Areas File #: ZOOS Critical Areas Checklist Fee: $45.00 Date Mailed to Applicant:4-RE5-Ca 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 fording 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 agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this application on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT DATE d Property Owner's Authorizati 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 the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. Owner/Applicant: _7F'_R_P v 2 ' U WA �I Name Street Address Can tv�.rp� VJ4 City State Zip Telephone: L2o4 ,!5y Z - o 8 5� Email address (optional): Applicant Representative: RECEIVED Name APR 12 2003 Street Address PERMIT GOMPER City State Zip Telephone: Email Address (optional): Critical Areas Checklist.doc/4.4.2003 Critical Areas Checklist cA File N°: Site Information n(soils/topography/hydrology/vegetation) 1. Site Address/Location: loq(-3 nz.?1Jk-�000 2. Property Tax Account Number: 51 3 Ofl 0105 p0 3. Approximate Site Size (acres or square feet): �C) RCC 4. Is this site currently developed? —es; no. If yes; how is site developed? S T MN)(_'rl 'F_ OAMSt-`l 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. —V' 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 standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: �_ ; Approx. Depth: _ What season(s) of the year? t4A 8. Site is in the floodway NO floodplain N0 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? K50 Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow • shrubs ; mixed urban landscaped (lawn,shrubs etc) , 11. Obvious wetland is present on site: i0 For City Staff Use Only 1. Plan Check Number, if ap�ab10 2. Site is Zoned? 3 3. SCS mapped soil type(s)? 4. Critical Areas inventory or C.A. map indicates Critical Area on site? No lrw h S. Site within designated earth subsidence landslide hazard area? Ma DETERMINATION STUDY REQUIRED V WAIVER Reviewed by: ?7" Date: 4123,-,o3 Critical Areas Checklist.dot/3.19.2001 PLANNING DATA NAME: Y)-\r,,-A an, SITE ADDRESS: 1 0 i PROJECT DESCRIPTION: REDUCED SITE PLAN PROVIDED e / No P MAP PAGE: CORNER LOT: Yes No FLAG LOT: Ye / No ZONING: R - 02 CRITICAL AREAS DETERMINATION #: ❑ Stu Required: Waiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic.yards of grading, Shoreline Area. site within 200 ft. of Puget Sound or Lake Ballinger) Exempt TO CA-k-b i * c- t.�r cA--Ld5 SETBACKS: Required Setbacks: Street: o ;i�>rLeft Side: -75 r Right Side:-7 . Rear: rc,5 ActualSetbacks: Street. _Left Side:�r'7. Right Side: `7 . r,--> Rear: Street map checked for additiona seT tback,required? (Yes / No / DNA) ❑ DETACHED STRUCTURES: — ❑ � ROCKERIES: / ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION: STAIRS / DECKS: PARKING: Required: -�- Actual: LOT COVE �© Calculations: `I ' &,, BUILDING HEI84T:L-�'A Datum Point: DatuaElevation: Maximum Allowed: Actual Height: O A.D.U. CREATED : (N / Yes)-4- SUBDIVISION: Mtn. t a — or-.-DA \ / ; , o � - i � LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: Yes Ao Plan Review By: if-x i -- caoYi.l "y 9.e-R LF- l o, $00 NewBPPlanningDataForm. DOC City of Edmonds Date Received: Development Services Department City Receipt #: Planning Division Critical Areas File #: 003 -- Phone: 425.771.0220 Critical Areas Checklist Fee: Fax: 425.771.0221 Date Mailed to Applicant: -t;. 10, 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). 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 agents or employees. • By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this application on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT DATE C) Property Owner's Authorizati 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 the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. Owner/Applicant: �Tz� S U WA W%J Name �0713 %Z:c�r3 f-fc�cx� Street Address CO/KvK1¢'? cAJA q'0Cb20 City State Zip Telephone:_ "2-0 :624 Z - 2-& 3 Email address (optional): Applicant Representative: RECEIVED Name APR 12 2003 _ UNIERPERMIT rnt tarred Street Address PERMIT State Zip Telephone: Email Address (optional): Critical Areas Checklist.doc/4.4.2003 Critical Areas Checklist CA File No: 03-5o •Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: loau3 Q�kjil) o- poo DR- 2. Property Tax Account Number: 0105 M 3. Approximate Site Size (acres or square feet): _�C5 CC 4. Is this site currently developed? (yes; no. If yes; how is site developed? S T r.1 frL �Acy�L`l R1;�2 0 6�T3✓A 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): Site contains areas of year-round standing water: M ; Approx. Depth: Site contains areas of seasonal standing water: No ; Approx. Depth: _ What season(s) of the year? NSA 8. Site is in.the floodway M floodplain _ Q0 — of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? 1Y0 Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow • shrubs ; mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: Na For City Staff Use Only Plan Check Number, if 2. Site is Zoned? 3. SCS mapped soil type(s)? 5 - Htac-,,,,,A _ IMb, I w,a gt=p „ Z -Cy. tom, 4. Critical Areas inventory or C.A. map indicates Critical Area on site? Na - 0.1" iu � IP, ,,h 5. Site within designated earth subsidence landslide hazard area? th DETERMINATION STUDY REQUIRED Reviewed bv: <e��.. /Z3� WAIVER Critical Areas Checklist.dod3.19.2001 ' OWNER/CONTRACTOR IS RESPONSIBLE i FOR EROSION CONTROL AND DAMAGE RECEIVED APR 12 2003 PERMIT COUNTER SERF€T GUTTERS/DOWNSPOI TO CONNECT TO EXIST. FZ- r--2, 97=01; 9�'�,, DYED BY PLANNING APPROVED AS NOTED Y Fd�INFFRW r, _.r��lTJ�I. T.�,� of w,�r�,2 � �►� ��N�c�. __ Date: GRADING -01,4. 9a020