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UBE
PERMIT
NUMBER
LOT COVF:RAOP: LOT COVEAAGE
ERMIHSIBLF: HEIUHT--FIROPOBED HFII7HT
ACTUAL LOT AREA TOTAL BI.DG. AREA
RE(.UIRF,D YAPDH PROPOSED YARDS
FRONT BIDE REAR FRONT BIDE REAR
I,F.GAL LOT CARIANCF: Olt CONDITIONAL USE i
[� YF.H [] NO PERMIT NUMBER
PLANNINO DEPT. APPROVAL DATE:
STREET R/W C
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS 7
Legal Description of Property (Show Below or Attach Four Copies)
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REMARKS
FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED'
D YES NO
SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP
I] YES O NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
REMARKS
SHOULD BE CODED $1.04.
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/ DWELLING
UNITH
NA i'URE O WORK TO BE DONE Valuation
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PR, .POSED USE
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