21304 86TH PL W.pdf� ~CITY OF EDMONDS FEE:
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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 bold 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 vyou false, misleading or incomplete information furnished by
' the applicant, his eDeota 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 a9ylzcaoc, O�Iher
or Representative _
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APPLICATION FOR HOME
OCCUPATION
OUESTIONNAIRE
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 bd selling or renting any goods on the premisesy Ir so, what
sort of goods?
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ADJACENT PROPERTY OWNER tIST
PLEASE LIST'ALL STREET ADDRESSES OF .-RESIDENTS
OF:P R
WITHIN 80 FEET OF THE PRQP.ERT�� LINES OF THE: �SITE._
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LIST NAMES AND,MAILING ADDRESSES OF OWNERS -6F.
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JHE �E
PROPERTI.ES. (THIS INFORMATION MAY Bt.OBTAINEIJ
FROM
COUNTY ASSESSOR'S OFFICE.)
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Robert L. Frey
21304 86th Pl. W.,
Edmonds, WA 98020
Richard Lohse
21310 86th Pl. W
Edmonds, WA 98020
William Lerras
21224 86th PI . W
Edmon ds, WA 9802*0
Robert Swift
8619 Bowdoin Way
Edmonds, WA 98020
Richard Carey
8611 Bowdoin Way
Edmonds, WA 98020,
Mck. G. Frey
21304 86th Pl . W.
Edmonds, WA 98020
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