18219 76TH AVE W.pdfOOW
CITY OF EDMONDS
APPLICATION FOR CONDITIONAL USE
HOME OCCUPATION PERMIT
DATE:
FEE:
RECT #:
APO'S:
FILE #:
HEARING DATE (IF REQUIRED):
APPLICANT: Varlx Wa-ti-er-sor\ PHONE: -2z� --Oq (01
ADDRESS: (%-Lti .-7
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Indicate type or degree of interest in the property:
OWNER: Con Flor ffi,������PHONE:
Use Zone Qw� - I (To be completed by Planning Division)
INDICATE TYPE OF BUSINESS AND DETAILS OF PROPOSED USAGE: TTAe �Vslrnn-ss wi 11
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RELEASE/HOLD HARMLESS AGREEMENT
The undersigned applicant, his heirs and assigns, in consideration for the City
processing the application agrees to release, indemnify, defend and hold the City of
Edmonds harmless from any and all damages and/or claims for damages, including
reasonable attorneys' fees, arising from any action or inaction of the City whenever
such action or inaction is based in whole or in part upon false, misleading or
incomplet.e information furnished by the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY
The undersigned applicant grants his, her or its permission for public officials and
the staff of the City of Edmonds to enter the subject proprety for the purpose of
inspection and posting attendant to this application.
p icant, Owner or Representative
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APPLICATION FOR HOME OCCUPATION QUESTIONNAIRE
Please answer all questions.
1. Explain the type of work that will be conducted at the home.
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2. What area
of the
home
will be
used?
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3. Will anyone be employed at the home besides yourself? If yes, please explain
who and when employed.
No .
4. What type of equipment will be used in conjunction with the home occupation?
5. Aill there be any visits to the home by clients, employees, delivery service,
etc? If so, how many, when, etc.?
No�
6. Will you be selling or renting any goods on the premises? If so, what sort of
goods?
No.
7. Doyou understand the conditions which must be met in order to obtain and
continue to use a home occupation permit?
8. Can you identify any adverse impacts on your neighborhood which may result from
your operating the home occupation you propose? Please explain.
AM
Karen Watterson
18219 76th Ave. W.
Edmonds, WA 98020
Washington Federal Say. & Loan
Dan King/Resident
King, Dan
18211 76th Ave. W.
425 Pike St.
Edmonds, WA 98020
Seattle, WA 98101
Ronnie Thompson/Resident
Continental Inc.
18209 76th Ave. W.
Echert, Bill
Edmonds, WA 98020
8th Floor Pacific Bldg.
Seattle, WA 98104
Colwell Financial Corp.
Tom & Doris Belt
Wirkkala, Dale E.
917 9th Ave. S.
PO Box 353
Edmonds, WA 98020
Louisville, KY 40201
Joseph Yang/Resident
7531 Ridge Way
Edmonds, WA 98020
Continental, Inc.
8th Floor Pacific Bldg.
Seattle, WA 98104
Pioneer Bank
Thompson, Ronnie
4111 200th SW
Lynnwood, WA 98036
Bill Echert/Resident
18223 76th Ave. W.
Edmonds, WA 98020
Dale Wirkkala/Resident
7525 Ridge Way
Edmonds, WA 98020
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ADJACENT PROPERTY OWNERS LIST
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On'my oath, I certify that the names and addresses provided represent
all properties located within 80 feet of the subject property.
sentative
Si ;�Vpplic�ant Repr
g
ubscri,bed and sworn to before me this IL day of hftam�eL' 1911
of Washington
Not li in an
Residing at
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