19906 MAPLEWOOD DR.PDF12205
19906 MAPLEWOOD
DR
T,,be City of Edmonds
APPLICATION
for
SIDE SEWER PEPvNaT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS E]
OWN`ER ..... k�Mg�� .. . .... ................... CONTRACTOR ....... (f/ F . .......... .................... PERMIT No.
ADDRESS ....... ...... .. ........ LEGAL DESCRIPTION: LOT No . .......
...... - -------- ....................................... BLOCK No . ..............
.......... . . .......
0,017- I&AJ
NAME OF ADDITION ........................... ........... A .............. ............................................
e_0
Approved:
DATE ... ---------- B y 7--" -,. f- �--
APPROVED
AUG 11 1969
'C'My 60 EDMON DS work
Can pRospect r�1101 when
ARTMENT is. ready for lnsPectl6n- (No inspee-
'13.
WATER -SEWER DEP vs.) N -0 3379
tions Saturday, Sunday or holida,
'IF :-',`S:1'DE SEWER PERMIT
....................... ------------------------------------
Drive --------------------- --_----------------------- -------------
"', I '.'�ADDRESS --------------------------------- ---------------
Cascade Sewers ..........................
WilljaTn W�� er Jr. ----- CONTRACTOR ----------- - -------------- - -------------------_---
- ----- ------------------------------------
---------- --------------------------
for ---------------
�'PeAnission -is granted --------_--------- ?�g 19..�q
days to REPAIR or CONNECT a side sewer
g orAinances.
,with City Sewers in accordance with application on file and governixi
AIJED To TRM FOLJOWING:
rty line. A licensed Side sewer Contractor must
.A�TTENTION IS C to construct sewer inside propei
NOTE No. L 1—Tbe owners of the property may obtain,a permit -of sewer before it has been inspected.
I be employed to construct side sewer in treet area. Do not cover any portion
2--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get perrait.
e of 2
N e at property line and 12 inches inside property line; minimum grad
NOTF 3—Top of side sewer must have at least 30 inches coverag
NOTE N:. No bends in grade sharper than % will be pe . rmitted.
NOTE No. 4—Trenches . in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion. y work on the main sewer or its appur-
NOTE No. 5--it is unlawful to alter or do any other,work than is provided for in the permit, or to do an
tenances except to insert the pipe into he wye-
Date: November 26, 1969
Memo to: Ron Whaley
Assistant Public Works Director
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot No. 5, Wagner's Addition.
Commonly known as: 19906 Maplewood Dr. Owner: Wm. Wagner
Z.F.F. Calculation:
(139.33 ) Z.F.F. x ($ 8.31 "1 157.83 Connection Fee
Unit x ($ 25.00) $ 25.00 Trunk Charge
$ 10.00 Permit
$ 1,192.83 TOTAL
cc Wm. Wagner
P.S. Final cost per zoned front foot for L.I. D. #161 is $8.31.
V I)k I
16
IAI N
it/
CIT 314-1.
Y-OF EDMON.DS..
OFFICE OF PUBLIC WORKS
WATER. DEPARTMENT RECEIPTS
4
Date --------------- .. ....
Rcccived of, i�:� ..... �zl ..... .
For Ni�.
For No. z ....... ............ . .... ............ ..................................
............ .................
A.mount No. ----------- ---------------------------------------------------------------
Amolint0. 2 ------------------ .......... -------- ----------------------------- ................ .......... $ ... ------------------------
By ----- --- - ....................................... .............
............
Water Service Drawing
The City of Edmonds EASEMENT NO . ............................................
NEW CONS-VRUCTION REPAIRS ;< LID NO . .................. . ASMT. NO . ..................
3 q-
OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO . . .................
t.
JOB ADDRESS Jg!?O� LEGAL DESCRIPTION: LOT.NO . ...................................... BLOCK NO . ....................................
........ M6FL
F, %A) 0 0-46 'D
....................... F .......................
PV4W-0001 .11175 (R EVJ 1/78)
COPPE R
;?LICE
-Z
Approved:
DATE ................. By
..... ... ... . ....... ........ ...... I ........................
PLANNING DATA
FA
190% 1 6 t Na e mffix-
SITE ADDRESS: zno- z-AN FAI, DATE: .2101111�yi
ZONING:-., PLAN CHK#:
PROJECT DESCRIPTION:
CORNERLOT W (Yes/No)
SETBACKS:
FLAG LOT_ _(Yes/No)
Required Setbacks:
Front: A�7 Left Sidd�-/,,-'2 RightSide: 12�9 _Rear: ,o
Actual Setbacks: , "I
Front: '- Left Side: Zo RiahtSide: Rear:—.,;�
Street map checked for additional setback required? k (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED, 4Z -(Y/N . )
LOT COVERAGE:
Maximum Allowed:— —Actual- :�Zlg
BUILDING HEIGHT:
Maximum Allowed:
Datum P
Mz
.U.,P�qATED?:
SUBDIVISION:
CRITICAL AREAS #: ?E -171?a
SEPA DETERMINATION:
OTHER:
ual Height: —
urn Elevation: /612)
CA FILE NO. —7
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1.
2.
3.
4.
a
Site Address/Location:
Property Tax Account Is
Approximate Site Size (acres or square feet): 5 / , 3 9 r7
Is this site currently developed? 'A/ yes; _no.
If yes; how is site developed? YQ U el e— d e +n c� h a d a ra
Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
X 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
I 0-feet over a horizontal distance of 3 3 to 667feet).
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. Site contains areas of year-round standing water: N 0 —; Approx. Depth:
7
Site contains areas of seasonal standing water:
What season(s) of the year?
)Y p ;Approx. Depth: _
8. S'ite is in the floodway A/& floodplain Iva of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? .80 Flows are seasonal? (What time of year?
10. Site is primarily: forested ; meadow shrubs mixed
urban landscaped (lawn,shtubs etc) X
11. Obvious wetland is present on site: Ma
----------- �- --- �-For:City Staff Use Only ---------- ------ — ----------------------------
. . .. .......
L. Site.is.2 '&i
one
:2. ..SCS mapped soil. type,(S)?.-�, 57-7� Le,
Z 0Z,
3. Wetland inventory or C. A. map indicate s w etl a nd pr e s en t on s ite?
'.4.' Critical Areas.inventory or. C.A. map. indicates.Critical -Area. on. site?. 34. L-it - Lzp& -'w'-
Site within, designated,earth.subsidence landslide hazard, area?,
W
S t6. des ignated.on. the. Environmental ly Sensitive Areas, Map?.
DETE'RMINATION
CONDITIONAL WAIVER
Date
^a—chk,doc; Rev 10/03/97
RECEIVED -
City of Edmonds NOVI 0 1998
PERW COUNTER
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Ap ' plication 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 deten-nination 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
I 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:
1�5116 1 d. 4- TO C4 k&r to
Narrf'e J
_020� /Vapl'swile)d
§treet Address- /
w
w,2 n a15 AJA
City State Zip
Z 6 q
Telephone
/ 1 -2
Date
Applicant Representative:
t =JLM-19
2M M�') 68)-r-1-1
Street Address
City State Zip
Date
MEN =-101
crcception\janakad.doc (over)
.,I? , 18 C),o
November 25, 1998
CITY OF EDMONDS - BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works - Planning/ Building - Parks and Recreation e Engineering 0 Wastewater Treatment Plant
Floyd & Joy Hammersla
19906 Maplewood Drive
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-276
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.
.......... WP64 ... ... ...... ....... .........
TANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHErKLLMST OR CRITI LAREASSTUpy.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
milo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. .4111111111
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
Thank you.
Sharla Graham
Planning Secretary
C:Reception\Jana\CRLTR.doc
0 Incorporated August 11, 18'90 e
Sister Cities International — Hpkinan .1;;n;%n
S 7 E T F I L E
Date: November 26, 1969
Memo to: Ron Whaley
Assistant Public Works Director
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot No. 5. Wagnerts Addition.
Commonly known as: 19906 Maplewood Dre Owner: Vim. Wagner
Z.F.F. Calculation:
(139.33 ) Z.F.F. x ($ 8.31 $ 19157.83 Connection Fee
) Unit x ($ 25.00) $ 25,,00 Trunk Charge
$ 10.00 Permit
$ 19192.83 TOTAL
cc - Wm. Wagner
P.S. Final cost per zoned front foot for L.I.D. #161 is $8.31.
C-1 0
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C7CITY OF EDMONDS
0NSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
I
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ZIP
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NAME
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ADDRESS
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.55114
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CITY
ZIP
TELEPHONE
STATE LICENSE NUMBER
EXPIRATION DATE
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LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL&S410104T§
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PROPERTY TAX ACCOUNT
PARCEL NO.
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(,nr7r7 -
rYY-) - Qt�� --n
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NEW
IV RESIDENTIAL
'\V PLUMBING / MECH
ADDITION
0 COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
APAR TMENT
SIGN
REPAIR
M GRADING
CYDS
FENCE
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DEMOLISH
F] TAIWIP
El OTHER
oGARAGE
CARPORT
RETAINING WALL
RENEWAL
ROCERY
P
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
Aonan�
:!�M� x a
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NUMBER
NUMBER OF
CRIT CA
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to
1
DWELLING
AREAS
9z
0
UNI
NUMBE _0
TO
BE DONE
i4n=_ez 2j-j-jti,4-=49nm
[PERMITEXPIRES
USE
PERMIT
ZONE
e7 NUMBER n(D 6 0
JOB
SUITE/APT#
ADDRESS
CY, WnAOWYN�A
LEGAL DESCRIPTION CHECK
SUBDIVIS104 NO.
LID No.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
0
RW Permit Required
0
EXISTING
— REQUIRED DEDICATION
Street Use Permit Req'd
0
Inspection Required
0
PROPOSED
Sidewalk Required
0
METER -SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 N
z
M
REMARKS
W
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5F,J),14L,V
0 X171 410 L-
ENGINEERING MEMO DATED REVIEWED BY
,21, /27
FIRE MEMO DATED REVIEWED BY Uj
LL
VARI�,.,jCE OR CU �
ADB#
SHORELINE #
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
,
'L&C'OVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONI SIDE REAR
FRONT URSIDE REAR
�!6-
/C 129 A0
Or 7 7 ZK
LOT AREA
t;-7,v
-
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P DE6 EW BY DATE 1
FT) CH'ECKED BY I TYPC F CON TRU TION C OCCUPANT
GROUP
SPECIAL INSPECTOR AREA' OCCUPANT
REQUIRED [-
YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108'
FINAL INSPECTION REQUIRED
IVALUATION FEE
IIJIA'11�u" 0/1, 1 /1*,-7
PLAN CHECK FEE
GLAZfNG--/.
-LOT SLOPE %
P41 I ice
210,
BUILDING
PLAN CHECK NO:
VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
:i
DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
STATE SURCHARGE
SEPARATE PERMISSION.
W
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
in
W
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS'
ENG. INSPECTION FEE
-i
M
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
cc
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
_j
0
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
7
x
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This is
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
application not a permit until signed by the
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Official or his/her Deputy: and Fees are paid, and
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
(425)
receipt is acknowledged in space provided.
SIGNATURE (OWNER OR
DATE §IGNED
OFFICI L NAT DAT�
,
1/21
771-0220
1—
C.,
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1,
A17ENTION f 4
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A'CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
IGINAL - FILE YECI-OW - INSPECT09
PINK - OWNER GOLD � ASSESSOR
9902230663
CV3 02/23/99 14:34
to p.0003 Recorded
Snohomish Coun t
0 Return Addrem:
Q City Clerk - City of Edmonds
121 5h Ave N
Edmonds, WA 98020
CITY OF EDMOND S
GUEST HOUSE COVENANT
This is to certify that the property as shown on the attached map (Exhibit "A") and described as follows,
Legal Description:
Section 24, Township 27N, Range 3E., WM
See Exhibit "B" for complete legal description
0 Assessor's Tax Account Numbers of property:
6077-000-003-0101
has processed a Conditional Use Permit for a Guest House under the provisions of the Edmonds
Community Development Code (File No. CU-98-183) subject to the following conditions and
requirements:
I . The applicant shall not install cooking facilities within the guest house at any time.
2. The guest house is to be occupied by non-paying tenants only.
3. The property must remain a minimum of 20,000 sq. ft. in size for the Conditional Use Perrnit to
stay valid.
4. . At any time, at least six months after the granting of this Conditional Use Permit, residents of the
neighborhood may request a revocation or reconsideration by the Hearing Examiner through the
procedure outlined in ECDC Chapter 20.19.040.
5. The guest house is to appear residential in nature and continue the color of the primary residence.
I / we verify that I / we are the legal owner(s) of the property described above. I / we warrant that all representations
are true and correct and understand that in the event of any misrepresentation or failure to comply with the conditions
and regulations set forth herein, the City of Edmonds shall have the right to declare the Conditional Use Permit void
and record a statement to that effect in the Grantor -Grantee's Index in the office of the Snohomish County Auditor.
Signed: -g�o,
STATE OF WASHINGTON)
ss:
COUNTY OF SNOHOMISH)
kAI certify that I know or have satisfactory evidence that T= ng W'%
appeared before me, and that said persolfacknowledged-sign-i- itis instrument, on bath statdCSRD1uthority%L
execute the instrument and acknowledged it as the t=h - , he subject property to be the free
and voluntary act of such party for the uses and purposes mentioned in the instrument. ,
SUBSCRIBEDa.nd SWORN to me this lay of 19
N91 E S.
S104f
0 "' �otary ?Mbl c in a d for the State of W shi ton
,A 0 -rAAg 7- residing at
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LEGAL DESCRIPTION
(Statutory Warranty Deed)
The East 40.00 feet of Lots 3 and 4, TOGETHER WITH all of Lot 5 and that portion of
Lot 6, all in the ' plat of Wagner's Addition, according to the plat thereof recorded in Volume 24
of Plats, page 94, records of Snohomish County, Washington, described as follows: Beginning' at
the Southwest corner of said Lot 6; thence N 36' 49'23" W, along the westerly line of Lot 6,- a
distance of 142.14 feet; thence S 53' 37'30" E, a distance of 68.56 feet; !thence S 37' 21'25" E, a
distance of 92.24 feet to an intersection with the south line of said Lot 6; thence N 89' 34'28.1 W,
along said.south line, a distance of 26.00 feet to the Point.of Beginning.
TOGETHER WITH the south 16.67 feet of Lot 18, Maplewood Hills, according td the
plat thereof recorded in Volume 10 of Plats, page 121, records of Snohomish County;
Washington
SUBfECTTO easements of record.
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Return Address:
City Clerk - City of Edmonds
121 5'h Ave N
Edmonds, WA 98020
9902230663
02/23/99 14:34
p.0003 Recorded
Snohomish Count
Ott)
0
Wo U
CITY OF EDMONDS
GUEST HOUSE COVENANT
STREET FILE
This is to certify that the property as shown on the attached map (Exhibit "A") and described as follows,
Legal Description:
Section 24, Township 27N, Range 3E., WM
See Exhibit "B" -for complete legal description
* Assessor's Tax Account Numbers of property:
6077-000-003-0101
has processed a Conditional Use Permit for a Guest' House under the provisions of the Edmonds
Community Development Code (File No. CU-98-183) subject to the following conditions and
requirements:
I . The applicant shall not install cooking facilities within the guest house at any time.
2. The guest house is to be occupied by non-paying tenants only.
3. The property must remain a minimum of 20,000 sq. ft. in size for the Conditional Use Permit to
stay valid.
4. At any time, at least six months after the granting of this Conditional Use Permit, residents of the
neighborhood may request a revocation or reconsideration by the Hearing Examiner through the
procedure outlined in ECDC Chapter 20.19.040.
5. The guest house is to appear residential in nature and continue the color of the primary residence.
I / we verify that I / we are the legal owner(s) of the property described above. I / we warrant that all representations
are true and correct and understand that in the event of any misrepresentation or failure to comply with the conditions
and regulations set forth herein, the City of Edmonds shall have the right to declare the Conditional Use Permit void
and record a statement to that effect in the Grantor -Grantee's Index in the office of the Snohomish County Auditor.
Signed:
STATE OF WASHINGTON)
ss:
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence tl
I,,( ho-
Ige "a -
appeared before me, and that said persolacknowlei , d signing this mstrumen� on Lath stataOgg��uthontyS?
execute the instrument and acknowledged it as the e=)g the subject property to be the free
and voluntary act of such party for the uses and purposes mentioned in the instrument. .
SUBSCRIBED and SWORN to me this 19
day of
C� 5S.104fe
�_ �otary "bl c in a d for the State of W shin ton
140 TA 19 z residing at
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OT
LEGAL DESCRIPTION
(Statutory Warranty Deed)
The East 40.00 feet of Lots 3 and 4, TOGETHER WITH all of Lot 5 and that portion of
Lot 6, all in the plat of Wagner's Addition, acco ' rding to the plat thereof recorded in Volume 24
of Plats, page 94, records Of S"OhOmish County, Washington, described as follows: Beginning at
the Southwest corner of said Lot 6; thence N 36' 49'23" W, along the westerly line� of Lot 6,- a
distance of 142.14 feet; thence S 53' 3730" E, a distance of 68.56 feet; *thence S 37' 21,25" E, a
distance of 92.24 feet to an intersection with the south line of said Lot 6; thence N 89' 34,28" W,
along said south line, a distance of 26.00 feet to the Point of Beginning.
TOGETHER WITH the south 16.67 feet of Lot 18, Maplewood Hills, according to the
plat thereof recorded in Volume 10 of Plats, page 121, records of Snohomish County;
Washington
SUBfECT TO easements of record.
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