19214 94TH PL W.PDF11111111 lill
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19214 94TH PL W
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CA FILE N
Critical Areas Checklist
citi�(�oils/topography/hydroloi!v/vegetation)
Site -In bilti
1. SiteAddresSAL icition:
2. Property Tax Account Number: 6700 O&V — 0 007
3. Approximate Site Size (acres or square feet): !9,0 ",)e- / 7e 1 / 72oz.; ;:6
4. Is this site currently developed?
--m—yes; no.
If yes; how is site developed? F_ P_
5.1 Describe the general site topography. Check all that apply.
Flat:* less than 5-feet elevation change over entire site.
Rolling: 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 over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of. less than 33-feet).
Other (please describe):
6. Sit e contains areas of year-round standing water: W6 Approx. Depth:
7., Site contains areas of.seasonal standing water: 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water.course.
9. Site contains a reek 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 ixed,
m7
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
Rev OM9/93
4_1 _%-howes—,
4990 . 194
City of Edmon 0-3s-
Critical Areas Checklist
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 site 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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual -lots of the ppTcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicantshall 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.
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:
Narne
Street Address
City, State, ZIP Phone
Signature Date
Applicant Representative:
Name
Street Address
Cit te, Zi Phone
Sign;ture D
RECEIVEID
A-4 0)
FEB 17 1995
PERMIT COUNTER
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15' ROAD AND
UTILITY EASEMENT 1'.
LEGAL DES C RIP11ON'
THE SOUTH 90 FEET OF NORTH 180 FEET OF -
TRACT 60. PLAT OF EDMONDS SEA MEW TRACTS,
ACCORDING TO THE PLAT THEREOF RECORDED IN
VOLUME 3 OF PLATS, PAGE 76, RECORDS OF
SNOHOMIW COUNTY, WASHINGTON.
EXCEPT THE WEST 150 FEET THEREOF.
SITUATED IN THE COUNTY OF SNOHOMISH.
STATE OF WASHINGTON,
AS -BUILT SURVEY
BENCHMARK FOR
R.R. SPIKE IN POWER POLE LOCATED AT DR. ROBERT W. KETTE
THE NOKTHEAST PROPERTY CORNER
ELEV. - 200.00 IN SE 1/ F. SECTION 13,T.27N.,R.3 E.,WJ
CITY OF EDMONDS
DATUM SNOHOMISH COUNTY, WASHINGTON
ASSUMED
Lovell - Sauerland & ASSociatew, Inc.,
LER
UUTS" I I DATZ ra: WAIS
E)SRES, tO-45-95 UAL IT.T. 11-15-94 414�P.40ir