21300 HIGHWAY 99.PDF11111111111111
11567
21300 HIGHWAY 99
_7 ". __.. . .1. . '#P20 '''
City. of Edmonldsi
Development Servi c Department
Planifing Division
Phone: 425.771.0220
Fax: 425.771.0111
The- Critical Areas Checklist contained on this form is to
be. filled out. by any person. preparing .1 Development
Permit Application � for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is. to enable City staff to
detmnine whedw 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 Hill (Critical areas inventories, maps, or soil
surveys).
PUMP Mom
Date Received: 7
City Fieceip� #:, !:A 4 it, - -
Critical Areas kle #: Q 7 (C) 7
Critical Area's Checklist Few $135.-00
Date Mailed to Apphicant
A property owner, or. his/her authorized representative,
must'fill out t4e checklist, sign and date it, and submit ft
to the City. 7he City will review the checklist,.make ai
precursory site visit� -and make a determination of the
subsequent st.,ps necessary to complete a development
permit applica tion.
Please submit a vicinity imp, along with the signed copy
of this form k, assist City staff in finding and locating the
specific piece of property described on this form.. in
addition'. die applicant shall include other pertinent
information .(�,,.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing I their preliminary assessment of the site.
The undersigned applicant, and his4wfits heirs, and assigns, in consideration on the processing of the application agrees
to release, inderrinify, defend and hold the City of Edmonds harinless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based m whole or, part upon false, . misleading, inaccurate or
incomplete information finnishe d by the applicant, his/hedits. agents or empl6yees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE oF APPLicANVAGENT * -, DATE
Property. Owner's Authorization
.*By my signature, I certify fli;it. I have authorized the above ApplicantlAgent-t-3 apply for the subject land use application,
and grant my permission for.the public officials and the staff of the City of Eilmonds W enter the subject property for the
-purposes of inspection* and dant to this application.
SIGNATURE OF 0 _DATE7-,??-07
PLEASE PRINT CLEkk'
-Owner/Applicanti.-
David Broadus
Narne
21-300 Highway 99
Street Address -
Edmonds, WA 98026
City State zip
Applicant Representative:
Davis Harirave
Name Aan`c2 M ' ueller & Assoc./Arch.
130 Lakeside, Suite 250
Street Addres�%
_-S-aa t t 1 e WA 98122
city State zip
Telephone: (4250 775-4422- Telephone: (206) 325-2553
Bmail address (optional): day i d@mag i ctoyota. com
FinailAddies's (optional): davish@lmueller.com
#Tr"'20
Critical Areas Checklist
CA File. No:.QM�WTOI 0-1
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 21300 Hiqh�ay 99
Property Tax -Account Number: S e e a t t a c h e d
3. Approximate Site Size (acres or square feet)- 182,206 s,f. (4.18 acres).
4. Is. this site currently developed?
—yes;—no. Phase 1 No; Phase I I Yes.
If 'yes; how is. site developed? Phase 1,0pen Land; Phase Il - existing automobile dealership
.5. 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 hotizontal
distance of 66-feet). a
MIT. 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).
X 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. No Approx. Depth:
7. Site contains areas of seasonal standing water: No Approx. Depth:
What season(s) of the year?
8. Site is in the floodway N o floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
N o Flows are seasonal? - (What time of year?
10. Site is primarily: forested meadow ;shrubs; mixed. (Gravel
urban landscaped Pawn, shrubs etc)
11. Obvious wetland is present on site: No
For City Staff Use O;r7d
1. Plan Check Numbe . r, if applicable? �f t 0 200 —7 0 —7
2.
3.
4.
5.
Site is Zoned? C
SCS mapped soff 4rpe(s)?
Critical Areas inventory or CA. map indicates Critical Area on site? /W
Site within designated earth -subsidence landslide hazard area? A10
DE��ATION
�QUIRED WAIVE ' R
Date! o?/7/0-7 :