10717 229TH PL SW.PDF10717 229TH PL SW
ADDRESS:
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TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW
COVENANTS (RECORDED) FOR: 4/
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CRITICAL AREAS:q
2 - l DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver
DISCRETIONARY PERMIT #
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
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 #:
WATER METER TAP CARD DATED:
OTHER:
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WESTG ATE MANOR
SECTION 36, T.27N.,R.3E•,W.M.
}�SNOHOMISH COUNTY, WASHINGTON
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Critical Areas Checklist
Site Information
Project Name: V0M5c14v"5z-f-/i; Permit Number:
Site Location: I oZ i7 a q Lp(.S•w Property Tax Account Number:
Approximate Site Size (acres or square feet): ACRE
'STIyET FILE
61yg - o00 . pc(o -000 S
Have you filled out a Critical Areas Checklist for a project on this site before? N 0
General Site Conditions
1. Has the site been cleared or logged? `i e5 Date of most recent action: 11APk0V - YvYEARS,
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? t 7 = Ty PP
3. Describe the general site topography. Check all that apply.
Flat: less than 5 feet elevation change over entire site.
TTTTRolling: 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 of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water: iV o
5. Site contains areas of seasonal standing water: A10 Approx. Depth:
6. Site is in the floodway A/o floodplain Al O of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? AD flows
are year-round? ti o Flows are seasonal? N a
8. Site is primarily: forested ; meadow ; shrubs ; mixed _ Cam.
9. Obvious wetland is present on site: a
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site: V-67-5 <YE«w)
For City Use Only
STUDY REQUIRED: Critical areas study is required.
CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.'.
1/ WAIVER: Critical areas study is not required.
Determination Number.
Planner Date'
Rev 3l27/92 ���
•
•
690.194
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
An applicant, or his/her representative, must
this form is to be filled out by any person
fill out -the checklist, sign and date it, and
preparing a Development Permit
it to the City. The City will review
_'-submit
Application for the City of Edmonds prior
the checklist, make a precursory site visit,
to his/her submittal of a development permit
and make a determination of the subsequent
to the City.
steps necessary to complete a development
permit application.
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).
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
%bM � pD�aQ VON ScNoESSGE�
Name
Title
1D717 2a9
Street Address
Fp.K 0*'" W)+S 4
City,State, ZIP
Signature
s9a-447�-_
Phone
1� -13-
Applicant Representative:
Name
Title
Street Address
City, State, ZIP
Date Signature
Phone
Date
0
City of Edmonds
Critical Areas Determination
Applicant: 'C u �S Determination #:
! D
Project Name: Permit Number:
Site Location: 1� 7 7 ZZ r' Property Tax Acct #: 1 6l E S _
/BLS
Project Description:
F_ . P- D
Waiver Criteria (all criteria must be found to apply):
There will be no alteration of the Critical Area or its required buffers;
The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
The development proposal meets the minimum standards of the Critical Areas
ordinance;
The above findings are based on the following conditions of approval:
1. .
2.
3.
4.
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B.150 (B) of the Edmonds Community Development Code.
4 / y
Name ` Signature Date
4�z1 �,-,L
"CA_WAVE.DOC
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).