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20404 88TH AVE W.PDFIIIIIIIIIIII 8459 20404 88TH AVE W SetbacksNariance/Setback Adjustment Conditional Use Permit -%:�%Xg 2 ADB Requirem nts 3 Other Zoning Requirements 4 Underground Wiring Required �6- Lot Slope IS% ------- -------- 6 SEPA Environmental Checklist/Hydraulics Permit Tree Cutting Plan . . . . . . . :7 8 Plat/Subdivision Requirements .......... Legal Description Verification 10 Quit Claim/Street Dedications 12 Easements - Public/Private Engineering Storm Drain Review Fee 13 Engineering 2.2 Inspection Fee 001.11 14 Drainage Plan (On -Site) ME Mimi 15 - Setback - Top of Bank, Stream, Water Courses 16 Setback - Storm Drain Line ........... --------- 17 Open Ditch - Existinq 18 19 Culvert Required - - - - - - - - Culvert Size . . . . . . . . . . . . . . . . . . . . . . . . ..... 20 Shoulder Drainage/Shale Open Runoff Catch Basin Required Driveway Slope & Vehicle Access Sidewalk Required Curb & Gutter Required Curb Cut For Driveway Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ----- ------- - - - - - - :::.2,6::,. Street Paving Required .... 27 Right -Of -Way Construction Permit Required 28 Street Name Sign Required Other Signing Required 36- Bond Required For Public Improvements 3.1 FEMA Map.Check/Water Table Side Sewer Availabi.lity 32-.. 84 Calculate Sewer Connection Fee If No LID # Create Street File Z4. Existing Water Main Size M ffil* ME Water Meter Size Service Line Size 38 Water Meter Charge Required ...... . .... . . . . . . . . . . . . . Hydrant Required 40 Hydrant Size Existing . . . . . . . . Fire Line Charge Required - Sprinkler Street Cut ^V+ ................ ,Miscellaneous 44 Reviewed By: FIRE PLANNING ENGINEERING 6t-YB�"111 WORKS PU611 A R E C 0 R D OF C 0 N T A C T S 1 21 ,2 22 3 23 4 24 5 25 6 26 7 27 8 28 RW PERMIT # DATE ISSUED RECEIPT # 9 29 10 30 11 31 32 13 PAID $ RECEIPT # DATE 33 SS PERMIT # DATE ISSUED 141z54--Pff RECEIPT # 109�W- 14. PAID $ RECEIPT # DATE 34 15 35 36 37 METER SIZEaN PAID $ 3-75' DATE I NL9,F RECE I PT # 10 L 18 38 19 39 26 40 L A,� LPT 2,14ELLERIENI i v� 0 F E73 Ni-D Co., rT 3u;� 'S I V IF 1-4 CS , L vlA - V7 4VE7 V., - vvto�4, MINING OCT 2 3 19W 11 cm;;M&M ZC-A,L-C-: 1=Za�a APPROVED BY PLANNING v C py A,-CCE'SS UrILITY CITY 6 SITE PLAN' LOT 2, 14'ELLSTLIENI A-M'O'Na. C t VY 0 F E7 73 M 0 WD -5 MMOHIOML15H Ca, tzj�'. Zn 10 r 3914 mlL C� rL 5e. ly -7@ Le 42VI Tov orf- (-of"rizk 3 Gl(v 4 to C C E'S'S i UTILITY \b HEIr,HT CA.LC:-j c 3 GO. S-Z- to TOT A, L If. 00 3 U83 mA.-A %- g . I"- x o � 0 I STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNER Ile //a". V N'*lf tee. ADDRESS IMPERVIOUS AREA � 3CI&Y .1 P: - RCCEIVED OCT 2 1 1997 PERMIT COUNTER FINISHED T CALC BY: 54";vrhlelk.,� PHONE: DATE: *****DESIGN DATA***** PIPE DIA PIPE LG ORIFICE DETENTION PIPE LENGTH LOCKING LID .(TYPICAL) —I!- MINIMUM � I 7 6 MIN E�CFARRCANffap - WSUR OF CONC BOX OR RISER �1 -OUTLET CONTROL 1:19141N. UPPER CATCH BASIN ORIFICE CONTROL CATCH BASIN cr%ov SYSTEM CROSS SECTION STY Va 0 I Cl 2'X2'X6' DEEP, 4-6- SPALLS OR EQUAL FROM CONTROL CB 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK FROM CONTROL ISTING GRADE "'OUTFLPOW TRENC LONG. PERF B� MIN 10 IPE TO LEVEL' \�ERF PIPE W/ END CAPS TR NCH SMALL BE LINED WITH MIRAFI ARIPRAP OUTLET PRiOR TO PLACEMENT Of WASHED DRAIN ROCK RUNOFF, SPREADER. TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED 70 DETENTI ON SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection before backfilling and for final inspections. AIPPROVED BY 2, Responsibility for operation and maintenance of drainage systems on private property is the ' ��/j responsibility of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. The outlet Control orifice DA7 must be kept open at all times. 4 LOT.2,14HL-eTLEN1 AXTJ Na. E"73 M 0 N.17[) 5 'StXOH<) H L 5 1-4 - C-O-, 00 cp \n Z7— ro ltl\r Vo N CIE V.4 iL I'l L, -�HEIG-HT L C'5 r3 3 e.T. -,*-*-*:c : 36,11 : 350. Z 4,L: 35 7, + - 115% 00 .- 31b".115" CITY Copy I&IAJ7AIA) 6D /V s7eve-7,1-4 ,V4 a I ff zc-,b.. %- c- " - I "= z a'. c7 CRIVED ,&,CCE-55 UrILLTY OCT 2 0 lg.q7 PERMIT COUNTER S I T E L -2�'XO o LOT 2,14ELLSTLIENI A-70M'Na. CLT-'y OF E773MONI-05 CITY, Copy .RElc,HT C:.&,LC:5' 173 3GO, --lo 3,5b � --T'P.Th� 4Z9 J:F —5 q�z 3 574. Li 3 C., 0 33Z.z43 A 7 aak'� RUI-LOING IV v v - 7 1997 ZC-01L�G:. Cz za� 0 % APPROVED BY PLANNING ,44ccE55 UrILLTY v td N C/) 0 .2 > CD 0') c— CD o' cn N) cx) w 0 c/) 0 m t7-'j tt w c_ > > > r- M 0 00 f r q (o K cy) CF) i -0 co co m> �__ LOT LINE ADJUSTMENT ;u Ln cn 0 < 22 0 c- rv) > Z -Z 0 z > SCALE 1" 60' CD rA-S,89' 204th Sr�. S.W. 20' 55" EG T 119.86 _j__ �% 145.00 2-45 --10.00 _[::�_500 co OD :0- Z 1OX145 STRIP DEEDED TO THE CITY OF EDMONDS u (30) 0 CA 0 z q U, AREA: CA 38272 SO, FT C�' 0.8786 ACRES* z m FOR JAMES M. AND SHELLEY F. PALMER S 89* 26' 15 11 E 204th ST. S.W. IN — — — — — — — — — — — — — — 295.00 SEC. 19; T 27 N; R 4 E; W.M.,---- D = 447 38' 30" LEGEND R = 94.12 L = 73.33 FD. MONUMENT IN WELL AND COVER FD. REBAR OR AS NOTED ell WATER VALVE LAURI FIRE HYDRANT 27 IV. HOUSE 240411 SHED LR 0 P 00 ORT 01 (-'A" I — 245.50 OD 0-22 FD. 1* IRON PIPE NO PLUG 0 30 60 120 7th PLACE S. W. 1 01 ANN WATER METER I m PA.RK IF POWER POLE/ELEC. LINE D = 44� 39' 05" CATCH BASIN DATUM: R = 93.75 SANITARY SEWER MANHOLE TOP OF RIM D(ISTING C.B. L = 73.06 RIM = 352.66 S 89' 20' 55" E 591.12 R'lM = 352.70 FENCE LINE fW FENCE LINE 34562 0 GUY WIRE cn CA 0.49 CD ------- o to z 0 L4 0 z rn 0 0 r r- z ZE rn FD. REBAR ::E 36' FIR BENT o 0 ;'� -- z ::E rri C.B. AREA: RIM 351.11 55946 SQ. FT_ 1.2843 ACRES 0 cn FENCE LINE FENCE LINE 346,48 FENCE LINE N 89* 22' 23" W 591.98 CITY COPY 207th PLACE S W. c-B- _RIM 350.31 SSMH RIM = 350.4-8 1. 17�) rQ 30)� I= CC) Co cI The City of Edmonds Water Service Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO . .................. OWNER................................................................................................ CONTRACTOR ................................................. PERMIT NO.'17010.0 JOB ADDRESS ... .... ........... LEGAL DESCRIPTION: LOT.NO . ...................................... BLOCK NO . .................................... ................................................. : .................................................................................................................. NAMEOF ADDITION ....................................................................................................................... Iq 13 13 ui 9 �j -<-- f� / -> Approved: PWW-C)Ool -11/75 (REV� 11/78) DATE ............. GHORa ........... L--] I- 3 IN * a AgRm17 190 DIA)IS 5 01, CITY OF EDMONDS Address of Construction: 0 -7'0 Property Legal Description (Include all easements): SIDE SEWER PERMIT PERMIT ii`j?. 0910 EDMONDS TREATMFNT P1 Owner and/or Contractor: ktk\,eme� �Nroxnes 71-c , State License No. 4- rJJ_-r /O/A R — Building Permit No. 70 z? o Q 0 Single Family 0 Multi -Family (No. of Units—) E) Commercial 0 Public WA 0 Invasion into City Rlg6of-Way: P No 0 Yes RW Construction Permit No. Cross other Private Property: No El Yes x - Attach legal description and copy of recorded easement I cerry that I have read and shall comply with all city requirements as indicated on the back of the Permit Card. 'Lit, . is: l9qif Date CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE.. ONLY. FOR INSPECTION CALL4M-SM, PUBLIC WORKS DEPT. C90 771-OA3's- Permit Fee: Issued By 711, �oj . ,_,1 Trunk Charge:,A-5-. 00 Date Issued: Assessment Fee: Receipt No.: Lid No.: — Partial Inspection: Date —Initial — Comments Reason Rejected: Date —Initial — Final I nspection Approved: Date A; - 2k I nitialiuL ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: Ne Green Copy: Inspector Buff Copy: Applicant Revised 3190 The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION � REPAIRS F-� LID NO . .................. . ASMT. NO . .................. OWNER........................................ ....................................................... CONTRACTOR .................................................................................... PERMIT NO. .......... JOB ADDRESS . ............ AVE ..... (/J ---- LEGAL DESCRIPTION: LOT NO. - .................................... BLOCK NO . .................................... 610 a i .0 PWW-0001-11/75(REV.11/78) ................................................... ......................................................... .......... 159 ........... ........... ;E I) -�O -�.OS NAME OF ADDITION .................................................................. . TREATMiENT PLANT .................... I ................ ........... -T-0 A u E W Plr '10 CA-Te- r'l L) - - C--P-�cl Approved: -")4vg W DATE ... L—AL—.-U ............... B, . ....... .......... NOTICE: a n Y -N'o 'shown on the attached The -informatiOn for use by the CitY Of map(s) was com I piled Edmondsl its Employees and Consultants Th,..e City ofEdmonds does. not . warrant the t these accuracy of anything set for. h on . ' rnap(s�. An . y person or entity,requesting a copy should conduct an independent orm-ation shown on inquiry regarding the inf' ffi� -map(s)l Including, but not limited tol the lociation of any sew-er stub shown. Suc sewer -stubs may or may, not e.xist. and may or may not exist at the location shown of Edmonds nor its Neither the City fRmp-1-oyee*s o*r offi-ce-rs -sh-al-1 be 1--ja-b4-e for the information given* on thi5.map(5), nor for any one representation provided based upon . said map(s). The City of Edmonds .5 " d e .5,! -,-.) e- /, . -. Service Drawing EASEMENT NO . ........................... NEW CONSTRUCTION REPAIRS R LID NO . .................. . ASMT. NO . .................. OWNER........ ............................................................. CONTRAC*TOR ..................................................................................... PERMIT NO . .................... JOB ADDRESS ..................................................... ................ ......... LEGAL DESCRIPTION: LOT.NO . ...................................... BLOCK NO . ................................. . NAMEOF ADDITION ..: ..................................................................................................................... S 0 -0— 6" -0 ? A Approved: PWW-0001 -11/75 (REV. 11178) DATE ........................................... � By ............................................................ 690 - 191- City of Edmonds 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 toenable 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 shouldbe easily available from observations of -the site or data available at City -Hall (Critical Areas inventories, map . s, or soil surveys). An applicant, or his/her representa . tive, must fill Out the Checklist, sign and date it, -and submit it to the City. The City will review the chec1dist, make a precursory site visit� and make a determination of the subsequent steps necessztty to complete a development permit application. With a signed copyof this form, the a0licant should also submit a vicinity map or plot plan for indiv dual lots -of the paicel With enough -detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other.pertinent information (e.g. site plan, topography map, etc.) or studies in C101viunction 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 I Applicant: /' i Name E, Street Address Ed k" C) V) 1z City, State, -ZIP Signature WA 775-- Z63 (phone Applicant Representative: 'P. Name -�_— K.) e,— 1--, ' (- /_a k-7 e Street Address 'City, State, ZIP Phone Date ?Igna�ture Date rN. ,ritical Areas Checklist Site Information (soils/topography/hydrol.ogy/vegetation) 1. Site Address/Location: k P-7 2. Property Tax Account Number: 5-0 6 7 -%- 0 00 — 0 Z 7 — 010 7 3. Approximate Site Size (acres or square feet): 3 4. Is this site currently developed? _yes; no. If yes; how is site developed?—,n-/. 5. Describe the general site topography- Check all -that apply. Flat: iess than 5-feet -elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 1.0-feet over a horizontal distance of 66-feet). )V, L H il ly: slopes present on site of more than 15%, and less than 30% ( a vertical rise of 10-feet over a horizontal dis=ce 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):. yZe-6 4, 6. Site contains areas of year-round standing water: j, e� n Approx. Depth: 7. Site contains areas of seasonal sta:nding wwater: v7 o Approx. Depth: What season(s) of the year?, 8. Site is in the floodway —, c> floodplain of a water course. 9. Site contains a creek or an am where water flows across the grounds surfacel Flows are year- round? Flows are seasonal? 2,,.lo (What time of year? _n1a Y 10. Site is primarily: forested meadow shrubs mixed :urban landscaped (lawn,shrubs etc) L, Obvious wetland is presenton site: A74> For City Staff Use Only e, I. Site is Zoned? 2. SCS rn.apped soil tyws)? ALPEIqtZ�-- "Zj3,#?4 L�A[4-0 3. Wetland inventory or C.A. m2p indicates wetland present on site? fo 4..,. :-,.Critical Areas inventory or C.A. rnap indicates Critical Area on site? 1-4c::) 5.. 'Sit e within' designated earth subsidence landslide hazard area? 6. aesiignated on the Environmentally Sensitive Areas Map? DETERKINATION ',.:,STUDY REQUIRED CON . DfTfONAL WAIVER W AIVER* Reviewed by: 7�;fU�L-4D CAI— 411119(, Planner Date -V RCV 0 110474 ALUVICIIJ kJ11 This is to certify that the properties as shown on the attached map (Exhibit "A") and described as follows, See Exhibit "B" Sec. 19 Twn. 27 Rng. 4E Parcel Numbers: 5067-000-027-00 & 5067-000-027-01 have been divided under the provisions of the Edmonds Subdivision Ordinance (Sec 20.75) File No. LL-97-1. 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 that subdivisions void and record a statement to that effect in the Grantor -Grantee's Index in the office of the Snohomish County Auditor. . a A Signed: STATE OF WASHINGTON) ss: COUNTY OF SNOHOMISH) On this day personally appeared before me �JA177,t�s__fi'l A4m,,— , to me known to be the individuals described in and who executed the within and foregoing- instrument, and acknowledged that rL/ signed the same as free and voluntary act and deed, for the uses and purposes therein mentioned. Given under my hand and official seal this A0 _U 1-11 --# day of _" -A-- 19y go J. SIX STATE OF WASHINGTON) ss: Notary Public in and for the St ePshington residing at Signed: 1�1e_ Sven Helleren, for Sven Helleren Construction Inc. COUNTY OF SNOHOMISH) .5AA1 On this day personally appeared before me,'S KEN 1-4414,egd u_2R 5& A-- _N known to be the individuals described in and who executed the within and foregoing instrument, and acknowledged that signed the same as —free and voluntary act and deed, fprJhP,,qses and purposes therein mentioned. ", 5'. - ..' 4.0 %, 4 f__ G i v e n u n d e r m y ri�'i 11? 4 s —day of 19 /!7 4, Ali Z Uj 0:1 . . . . . Notary Public in and for the State of W 4E�f gton residing at ........ .. cI tt X j�3 0 cn m 0 01 -2 rri > > m M > > m z m 0 rn M C) J G-) (D -0 :< 00 a -0 � V) LOT LINE ADJUSTMENT 0 JAMES M. AND FOR SHELLEY F. PALMER ST. S.T 5- SEC. 19; T IN 27 N; R 4 E; W.M!, .204th S 89* 26' 15" E 295 cn w o 0 D 44* .38' 30" LEGEND 8 �d 94.12 L 73.33 44 FD. MONUMENT IN "u rr > ZI WELL AND COVER FD. REBAR OR AS NOTED c: Z WATER VALVE 0.27 LAURI FIRE HYDRANT 0 z ANN WATER METER p c: SCALE 1" 80' PARK ---U— = POWER POLE/ELEC. LINE Z -L ,-A �o 0 D AA* -40' 0 M = CATCH BASIN u ca 1(3( J 204thiST. S.W. R = 93.75 VAT - SANITARY SEWER MANHOLE -R& RF F 89- 20'..55" TE�l 19.86 L = 73.06 SSMH - 3! tS 89' 20' 55- E, 591.12 RIM = 352.7( —F---2-47—.-40 ----T* SHED k�,.tFE�NCED..7 — .0 LJNE FENCE LINE 9 1�0.4 1.4 -� GUY WIF --10.00 Q45.0� 2.8 . 0 CE LINE 0.7 343.72 ._9 500 9. 9.7 F Z lOxI45 STRIP DEEDED THE CITY OF EDMONDS rri �- 0 o AREA: "-' 39802 SQ. FF. m (AL 0.9137 ACRES CA 0 r- m z CE I L17 244.61 0.2 2 AFD. 1" IRON PIPE NO PLUG 1 00 cf) 0.4 Z rr7 0 z C) C3 HOUSE o H m 3C FIR AREA: rr' r- & a) 55864 SQ. FT 1.2825 ACRES PIM rri CAR > F PORT FENCE LINE FENCE LINE -,547.37 FENCE LINE 7SH ED N 89' 22' 2S' W a77 591.98 0 40 80 160 207'th PLACE S. W. 207th PLACE S. W. ssm RIM WESTERLY LOT NEW LEGAL THE WEST 245.50 FEET OF LOT 27, PLAT OF MAPLEWOOD HILLS, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 10 OF PLATS, PAGE 12 1, RECORDS OF THE AUDITOR OF THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. EASTERLY LOT NEW LEGAL ALL OF LOT 27, PLAT OF MAPLEWOOD HILLS, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 10 OF PLATS, PAGE 121, RECORDS OF THE AUDITOR OF THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON; EXCEPT THE WESTERLY 245.50 FEET. STANDARD DRAINAGEDETENTION SYSTEM WORKSHEET CALC BY: PHONE; DATE: *****DESIGIV DATA **** * IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE all -9-A). DETENTION PIPE LENGTH LOCKING LID FINISHED G MINIMUM (TYPICAL) N RANCFOP OF RECEIVED TIGHTLI E '*AMSURE�EFAROM .5% TO 1% SLOPE CONC BOX OR RISER -;0 OUTLET OCT 2 1 1997 ijg LET CONTROL PERMITCOUNTE'R UPPER CATCH BASIN ARIFICE CONTROL CATCH BASIN SYSTEM CROSS SE "ON EE T FIL E cT Sw 2'X2'X6' DEEP, 4-6' SPALLS OR EOUAL FROM CONTROL CB 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK EXISTING GRADE FROM CONTROL OUTLET 1ASHED R07CIKC �OUTFLOW TRENC PERF B� MIN 10' LdNG, 1.5 PIPE TO LEVEL ERF PIPE W/ END CAPS SHALL BE LINED 11 TH MIRAFI NTR IRIPRAP OUTLET PROPTO PLACEMENT OF WIA'SHED DRAIN ROCK RUNOFF SPREADER. TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED YO DETENTI ON SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection . before backfilling and for final inspections. 2, Responsibility for operation and maintenance of drainage systems oa private property is the responsibility of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. 'ne outlet control orifice must be kent nnt-n nt All fimp-a I APPROVED BY DATE �ItQ LOT 2,14E LeMlEtQ AXIO'tU. ctr,4 OF E"13MON-05 A N 00 ts N 0-- J cr, Z. -P-Rora�5v 5 1 IP IrF N C.G: 4 A, 4 SbOL 46c 54orCvl tw. 3. C T-4 —4- `If-'00 _.3%'l-2S a rm STREET Elm fi,M W M /,,U 'o9 Xe a e-1 Z 49D Zc-Ab.. t- G Za.t 0 OCT 2 0 1997 Acr-E-ss u-r,LIT'Y it -COUNTER PLANNING DATA NAME: Lk2tgLtn A/6, c SITE ADDRESS:- 2-o 4a4- - Se"' Ayt 0,-DATE:---/ t AW77 ZONING: P-S - 12- PLAN CHK#: 9-7-336 PROJECT DESCRIPTION: -/U'�� 5r-ye CORNERLOT A. . (Yes/No) FLAG LOT, /�t (.f (Yes/No) SETBACKS: Required Setbacks: Front: 2-S-' Left Side: tO' Right Side: Rear: 2-5-, Actual Setbacks: Front: 2-15' LeftSide: 1/' RightSide: /5' Rear: 39' Street map checked for additional setback required? Nb w,-(,Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED A� (Y/N) LOT COVERAGE: C2-,Z-4&,72g') Maximum Allowed:— 3 E -----Actual: 12, oz,-' 2-S BUILDING HEIGHT: Maximum Allowed: 2-!51 Actual Height: Datum Point: -1-�W Datum Elevation: .361o, /(a 'PLAD VA.Al S-n— A.D.U. CREATED?: -6-mA k (Av,-j-eA -F4'9'- k-f � V4fzrO'm5 I -�Iho 4—� L-4 N V-"� r-�' 3 � 6'-ex & si.-� - J.&- 6 '-1Y 1j 1,orhc"At ff N* ,,,A, 2 jq (A� "j, pe� 9&0213� SUBDIVISION: 6-9-7-39 - �p- 4--\ CRITICAL AREAS #: 96 - 24 4- - w,,Vc, SEPA DETERMINATION: "r S' LOT OTHER: Plan Review By: cAfi1es\pcmiA^p1&nd2Ldoc I MEMO TO: FROM: 6 e-- Wyz)1-5� DATE Z- SUBJECT: SEWER CONNECTION CHARGES 240-4o 4- �691 7-4 (Street Address) (Legal Owner) Single Family Residence '--� Subdivision Plat PRD. Multiple Commercial LEGAL DESCRIPTION: ./,o �,- --� S f 7- 3�' Z.F.F. Calculation: Z. F. F. x $ Lateral x( $ Unit(s) x($25.00 $ st STREET FILE Connection Fee Lateral Charge Equivalent Count (when applicable) Trunk Charge Permit TOTAL LQ-T,2, 14ELUGMEN1 Jbl:DTJ't�-I� 0- t V-1 F ETJ M NN J Z. tIrL A lo N, N, UrILITY QTPr-9l 11 %s u u ..�= u -q 6E BINDING OCT 2 3 19v APPROVED BY PLANNING //.f/g ;7 t -Y STREET FILEmb,10HO H L13 14- CJC�., ,zF I M F, s CIE , vi� L III ..HEIC,HT CALC:5 r3 c 3GO, 52- ___._ro 35-0,14 ..-TOTA-. L 14 2- 9 41 15-4. L/ 3 :3 44 3 1997 MAI" r4//,./ 6toslaiul zc_,o-.ur.: Czzotc APPROVED BY PLANNING ,&'-CCE'55 + UrILITY 7