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PLANNING DATA
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SITE ADDRESS: D�NTE:
ZONING: PLAN CHK#:
PROJECT DESCRIPTION: -�T AMA
CA FILE NO
Critical Areas Checklist
-------------- ---------------------------------------------
Site Information (soils/topographyPnydrology/vegetation)
1 - Site Address[Location: �76 -Z 0 6,*JkE I F-�b Mo T)
2. Property Tax Account Number: 5 5`3 - tDon - oi R
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? _Zyes; _no.
If yes; how is site developed? (2,10T�)-
5. Describe t general site topography. Check all that apply.
Fiat: less than 5-feet elevation change over entire'site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-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
I 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of 1 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: �j Approx. Depth:
7. Site contains areas of seasonal standing water: --- NJQ. Approx. Depth:
What season(s) of the year? �K--
8. Site is in the floodway )0 floodplain KJ-0,
of a water course.
9. Site contains a or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscape<ffEsj1�ru
awn,sh_ s �e'
11. Obvious wetland is present on site:
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CA FILE NO qq 5
Critical Areas Checklist
- - - -- - - --- - - - - - - - - - - - - - - - - - - - - - -- -- - -- - - -- - -- -- - - - - - - - - - - -- - -
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Locati.on: �762;�� o6,itE� Mo T�, 1;
2. Property Tax Account Number: 6 (,:> 5 '3 - eagn - of S - o ao 4-
3. Approximate Site Size (acres or square feet): 41
4. Is this site currently developed? s; no.
ye _
If yes; how is site developed? 4�,� I tse, t-C k'L Y R-Iaru-
5. Describe general site topography.. Check all that apply.
��F 1 at: less than 5-feet elevation change over entire'site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-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 1 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-r ound standing water: �j ce--;> Approx. Depth:
7. Site contains areas of seasonal standing water: KJQ. Approx. Depth:
What season(s) of the year?
f
8. Site is in the floodway floodplain KJO, of a water course.
9. Site contains a or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscape<!a�whshru s e
11. Obvious wetland is present on site:
MTkAMINATION-o :
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JUL 0 8 1999
DEVELOPMENT SERVICES cTR.
CRITICAL AREAS CHECKLIST CIT ' Y OF LDMONDS
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 a development
permit 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 sfte or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her 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 assist staff in completing their preliminary
assessment of the site
0 have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
�ev�e
Name
1-7 & 2,3 7Z
Street Address
-5:'�:>M0Qn UdA 1802(,.-
City State
al 7
Telephone
14 &Ino
Signature
6
Date
Zip
Applicant Representative:
Name
7 ��'Z 6�- o L>(M ip V I
Street Address
t�7-D M S ISO 26,p
City State Zip
4/2,1'�- -776v t--�)67
Telephone
Signature
Date
mception\janakaddoc
(over)
41 ,? C. 18 () ")
July 12, 1999
Ray & Cathy Shere
17623 72nd Ave. West
Edmonds, WA 98026
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
BARBARA FAHEY
MAYOR
Subject: Determination regarding Critical Areas Checklist. # 99-195
Dear Applicant:
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
.. ... ... ... ... ...
IMPORTANT INFORMA TI 0 N T 0 E �E NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
C:ReceptionUana\CRLTR.doc
Thank you.
Sharla Graham
Planning Secretary
Incorporated August.1 1, 1890
Sister City - Hekinan, Japan
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F _EDM
ONDS.
ENTEA�_
WATEPSEW-E
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EW is ready for inspection. ..en Work
(No nsPee'
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PEI:�!s ER PERMIT S.)
Sunday 0, hJ
iday
ADDRESS
---------------------
............ --------- 1.762-3...
Ilue ... WeSt..
�OVVNER W . . .............. . .........
-------------------
--------------------------- CONTRACTOR ...........
Permission
'With is 9-anted PAe Aqx� ........ . .
------ j 15
. ............... ...............
--------------- .... ......
city Sew . ers in ace�lldl,,e with -PPlication iq .... 70 for ................ ------- days --------------
On file and goVe to REPArR or
ATTENTION 18'' rniDg ordinanc,,s. CONTNECT a Side S.W,r
NOTE CALLED TO THE 'FOLLOWING:
No- I —The 'owners of the property
"llaY obtain a Permit to construct sewer inside Property ]in, A licensed Side Sewer Contractor must
be emP10 ed to construct side sewer in street area. Do not 'Over any portion
NOTE No- 2—Obtai . n f Y
NOTE No. 3�Top Of :ull information regarding Ordinance 11. 'If sewer be"
ide sewer ran -16,030 and Regulations, 'Ore it has been inspected.
t have at least 30 governing side sewers when you get pernoit.
No bends in grade shasrPer than % will Xches coverage at Property li
NOTE N�. 4—Trench- - treet e Permitted. ne and 12 inches inside property line; minimum
failure duln s must be water settled and surface of street restored grade of 2
NOTE No. 5--It e.to improper work which. may develop with'
In One Year Of completion.
terlis unlawful to alter or do any Other work than to original condition.
anCes except to insert the Pipe into the Wye. is Provided for in the.permit, or to dc an Contractors shall be responsible for
Y work on the main sewer Or its appur-
The City of Edmonds