21416 98TH AVE W.PDFiiiiii lill 11
9646
21,416 98TH AVE W
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NOTICL:
-o-.-w-a r-r a r, L'�'U r a.-C. c-U. ra
ttached
The information shown on the a
piled for, use by the City 01
map(s) was cOM '
Edmonds/ its Empl�oyees and Consultants.
Th,.e City ofEdm.onds does - not . warrant the
these
accuracy of anything set forth on
Map(�-). An*y person or entity -requesting a
copy should conduct an independent
Orm-ation shown, c
inquiry regarding the infi
t-Fe -M a P (S) / including, but not i'mited to
the lotation of any sew-er stub shown. Su(
-sewer stubs may or may not exist and ma�,
or may not exist at the location sh.own.
Neitheir the City of Edmonlal-sl nor its or t'l I..
emp-1.0-yee-S O-r office-rs -sh-a-1-1 be I.-Ja-b-I-e
On this Map(5)) nor for
information g ve
3ny one representation provided based
upon said. m a p (S)
01 -1 1-14 P APPLICATION
6IMFUG"C"I FLE for
The City of Edmonds SIDE SEWER PERMT
OUTSIDE INSIDE 0 REPAIRS 0
OWNER7-04?i�� ... L.-- .................. ........ ............. ........ CONTRACTOR ........ . .. ... .... .
HOUSE No . ...... STREET AA4'a
............................................................ .......... ....................... AVENUE LOT .. .... .................................... ..... ........
'Alill 4 - A&w Ave - ,
M
M
CARD No . ............ -- .-
EASEMENT No . .................. ............ ............
... ..... PERMIT No.
BLOCKNo...... .................................
f w / - - e- I
Date Approved:
BACKFILL WORK ORDER ISSUED .... ....................................... DEPOSIT, .................... ........... .......
SEWER WORK ORDER ISSUED ................ ............................... DATE .... ...... .......... By �!w ....... �V-1.3, .... .........
.74
CA FILE NO. q 6 _-9 0
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 1911-116
- — 7
2. Property Tax Account Number: ,) 5—('4 � 0 1 — I — (") Al ct 0 6) 0 1?
3. Approximate Site Size (acres or square feet): 000
4. Is this site currently developed? _Llyes; — no.
If yes; how is site developed?- Fj 1
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
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 10-feet over a horizontal distance 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):
6. Site contains areas of year-round standing water: ; Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the flood.way— floodplain— of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? Flows are seasonal? _ (What time of year?
10. Site is primarily: forested ; mead9w shrubs mixed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site:
2' SQ5 .... ...
Yma-Ppp�_Ppi- es
s,
inventory or C.A. map indicates i,�etland present on site?
on: $4
C A :jndicates:C
tical Areasinvento r . 4..
''ill map, r q.1,krea
su sid da 0.: Lj_ C). ,
b i ence.: a
Oin 6s! t doe
9n. ... . ..... .... n_ i e:� azar
'S t s 'mated on.the:Environmentall.y*.8�ns.itive* Area
_.:_i p. de.
&ETEIRMINATION
City of Edmonds
RECEIVED
JAN 2 6 1998
r,nftA1A1 IAMU -qr-;4V1r'ES
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this forin 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 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 sury eys).
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 determination 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
AY)
Name
. ) t ql( , O?� ,
Street Address
P-7 V) VM UAS�ff 'M)C�o
City State Zip
11 �( —
Telephone
g
te
c:recepfion\jana\cac1.doc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
-f"2 '. 18 C)Q�
February 10, 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 - Plan ning/Building - Parks and Recreation - Engineering * Wastewater Treatment Plant
Mark G. Brady
21416 98th Ave. West
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist # 98-30
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 CriticalAreas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED�'
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENWRONMENTAL CHECKLIST OR CRITICAL AREAS STUD
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
wo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION MTH 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.
I
Enc: Critical Areas Determination
*Architectural Design Board
C:ReceptlonUana\CRLTR.doc
Thank you. '
Sharla Graham
Acting Planning Secretary
im Incorporated August 11, 1890 9
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