18622 81ST AVE. W..pdfrIA
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CITY OF EDMONDS
APPLICATION FOR CONDITIONAL USE
HOME OCCUPATION PER11IT
DATE:
FEE:
RECT
APO'S:
FILE 1/: 6?61— 37----?�l
HEARING DATE(IF REQUIRED):
ly
_r-V e ADDRESS:. lAwlaa-alyl AV PHONE:
APPLICANT:(A� CZ_
Indicate type or degree of interest in the property; &kk�
0 ER: -el IAp PHONE: rl'7,P- .01/9
WN A 9- ;—tM.-L—ADDRESS: 14 6QA
Use Zone :c"5 - /,Z� (To be completed by Planning Department)
VICINITY SKETCH: PLEASE SHOW BELOW A VICINITY SKETCH AS PER EWIPLE, INDICATING NORTH.
Example: �BT WJ
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F-T-
Locx,rva
71
INDICATE TYPE OF BUSINESS AND DETAILS OF PROPOSED SAGE: A"', (9m,01'L
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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 incomplete 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 property for the purpose of inspection
and posting attendant to this application.
Signar(ndalof Applicant, owner
or Reprvsentative
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APPLICATION FOR HOME OCCUPATION -QUESTIONNAIRE
Please anwer all questions.
1. Explain the type work that will be conducted at the home.
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2. What area of the home will be pf
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3. Will anyone be employed at the home besides yourgelf? If yes, please.
explain who and when employed?
4. What type of equipment will be used in conjunction with the home
occupation?
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5. Will there be any visits to the home by clients, employees, delivery
service, etc? If so, how many, when, etc?
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6. Will you be.selling or renting
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goods on the premises? If so, what
7. Do you 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.
I
TRANSMITTING: STAFF FINDINGS AND NOTICE OF DECISI'ON RE CONDITIONAL USE/HOME
run IVVM rALri AAA
REVIEW AND COMMENT:
COMMENT AND RETURN:
MINUTES OF MEETING!'