21215 82ND PL W.pdf10
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CITY OF EDMONDS
APPLICATION FOR CONDITIONAL USE
HOME OCCUPATION PERMIT
DATE:
FEE:
RECT
APO'S:
FILE #
BEARING DATE(IF REQUIRED):
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APPLICANT: ADDRESS:. �PHONE:
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Indicate type or degree of interest in the property; RQ,*
OWNER:
Use Zone (To be completed by Planning Department)
VICINITY SKETCH: PLEASE SHOW BELOW A VICINITY SKETCH AS PER EXAMPLE, INDICATING NORTH.
Example: 7 - -ilk
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LccA-riom oiF i4606E.
INDICATE TYPE OF BUSINESS AND DETAILS OF PROPOSED USAGE:
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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.
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Signature of Applicant, Owner
or Representative
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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 used?
3. Will anyone be employed at the home besides yourself? 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?
6. Will you be selling or renting any goods on the premises? If so, what
sort of goods?
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7. Do vou understand the conditions which must be met in order to obtain
and'continue to use a home occupation permit?
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8. Can you identify any adverse impacts on your neighborhood which may
result from your operating the home occupation you propose? Please
explain.
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ADJACENT PROPERTY OWNER LIST
PLEASE LIST ALL STREET ADDRESSES OF RESIDENTS OF PROPERTY
WITHIN 80 FEET OF THE PROPERTY LINES OF THE SITE, ALSO
LIST NAMES AND MAILING ADDRESSES OF OWNERS OF THESE SAME
PROPERTIES, (THIS INFORMATION MAY BE OBTAINED FROM THE
COUNTY ASSESSOR I S OFFICE',* IF A BANK IS LISTED AS OWNERj
PLEASE INCLUDE LOAN NUMBER NEXT TO INDIVIDUAL I S NAME.)
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CITY OF EDMONDS
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STAFF
.
OME OCCUPATION.
FILE NUMBER: ' APPLICANT: '
ADDRESS: �o
TYPE OF HOME OCCUPATJON REQUESTED:
REVIEWED BY: uocu:
AREA USED:
EMPLOYMENT:
E0UIPMENT U SE D
NO SALE OR RENT OF COMMODITIES:
NOISE, DUST, ODOR, SMOKE:
SIGN:
ADDITIONAL APPLICANT COMMENTS: /Z�-e-4/�'-'-e/ 11,7
HOME OCCUPATION APPROVED:
WITH THE FOLLOWING CONDITIONS:
HOME OCCUPATION DENIED: ye--,r
FOR THE FOLLOWING REASONS:
CONCURRENCE:
DECISION FINAL ON: :�ff -
February 14, 1986
City of Edmonds
Planning Department
205 5th Avenue,North
Edmonds WA 98020
Dear Sirs:
We recently applied for a business permit to run a business out of our home.
We would like to withdraw our application for this permit.
Please send us a refund of the $50.00 deposit we sent for this permit.
SINCERELY,
DARREN C. DAVIS
MALISSA A. DAVIS
DMD MANUFACTURING
DARREN DAVIS
MALISSA DAVIS
DMD MANUFACTURING
21215 82nd Pl. W.
Edmonds WA 98020
M E M 0 R A N D U M
February 24, 1986
TO: Finance
FROM: Susan Painter
Planning
SUBJECT: Refund of Application Fee for Darren Davis
File #CU-4-86
This memo is to request that a refund check for $50.00 be forwarded to
Darren Davis, 21215 - 82nd Place W., Edmonds. This amount represents
his application fee for a conditional use permit. This application has
been withdrawn. The receipt number is 4797.
Please call me if you have any questions. Thanks.