21607 96TH AVE W.pdfCITY OF EDMONDS
EDMONDS, WASHINGTON
APPLICATION FOR CONDITIONAL USE
HOME OCCUPAYION PERM —IT
F i 1 e # 4
Date e->1,P1XP 7
Fee
APO S
Rec # -74i;W
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APPLICANT: DAYTIME PHONE: 7*7,5-71S'Z
ADDRESS: C?X-7
Indicate type or degree of interest in the property* xS
OWNER: /-)0/,,/ PHONE: ;,7 7, 2 —2,61
ADDRESS: '121e5) 7
INDICATE TYPE OF BUSINESS AND DETAILS OF PROPOSED USAGE:
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�ignature ot Applicj��-, Owner or
Representative
RELEASEMOLD HARMLESS AGREEMENT the City
The undersigned applicant, his heirs and assigns, in consideration for
processing the applications 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
T—heunde�—signed applicant grants his, or 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.
Signaidre of Applican wner or
Representative
W -
'- --i. 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?
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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?
7. Do you understand the conditions which must be met in order to obtain
and continue to use a home occupation permit? 11
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 OWNERS LIST
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On my oath, I certify that the names and addresses provided represent
all properties located within 80 feet of the subject property
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Signature of Applicant or p icant's Representative
day of
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i 33 1531
Keller Rockey
96th Ave. W.
Edmonds, WA 98020
JC Forman/Resident
21615 96th Ave. W.
Edmonds, WA 98020
Savings Bank of Puget Sound
Gooding, Kirsten V.
815 2nd Ave.
Seattle, WA 98104
Marvin Anderson/Resident
9525 216th PI SW
Edmonds, WA 98020
Doreen Pinkston/Resident
9509 217th St SW
Edmonds, WA 98020
Elizabeth Sears/
Robert Goodfellow
9512 21th Pl SW
I Edmonds, WA 98020
Don Platek
4444 Green St. #222
San Diego, CA 92107
Bankers Life Company
Stevenson, Richard L
711 High St.
Des Moines, IA 50307
Kirsten Gooding/Resident
9506 216th PI SW
Edmonds, WA 98020
Citicorp Homeowners
Bozarth, Robert
PO Box 24550
St. Louis, MO 63141
Seattle Trust & Savings Bank
Lowe, Patrick
10655 NE 4th St.
Bellevue, WA 98004
JI Kislak Mortgage Svc.
A D Ptacek
1101 Brickell Ave.
Miami, FL 33131
AllState Mortgage -Corp.
Forman, JC
PO Box 700
Lincolnshire, IL 60069
Richard Stevenson/Resident
9610 216th Pl. SW
Edmonds, WA 98020
Marvin Anderson
21419 95th PI W.
Edmonds, WA 98020
Robert Bozarth/Resident
9517 216th PL SW
Edmonds, WA 98020
Patrick Lowe/Resident
21522 96th Ave. W.
Edmonds, WA 98020
A D Ptacek/Resident
21607 96th Ave. W.
Edmonds, WA 98020
CITY OF EDMONDS
STAFF FINDINGS
HOME OCCUPATION
FILE NUMBER: CU-58-87 APPLICANT: Keller Rockey
ADDRESS: 21607 96th Ave. W, Edmonds, WA 98020
TYPE OF HOME OCCUPATION REQUESTED: Drafting and design work for
residences
REVIEWED BY: Leigh Francis POSTED: October 14, 1987
AREA USED: Nook area off front room
EMPLOYMENT: Applicant only.
EQUIPMENT USED: Answering machine, typewriter
TRAFFIC: No client visits
NO SALE OR RENTAL OF COMMODITIES: None
NOISE, DUST, ODOR, SMOKE: None
SIGN: None requested.
ADDITIONAL APPLICANT COMMENTS: Drafting of residential plans for
homeowners and contractors --remodel drawings to be submitted for plan
examiner approval --part time work (owner has full time job)
HOME OCCUPATION APPROVED: Preliminary approval.
WITH THE FOLLOWING CONDITIONS: 1) Dwelling site is to be kept in a
clean, well maintained condition; 2) no signs; 3) no delivery of
goods, 4) no client visits and 5) no direct sales of goods or services
from residence.
HOME OCCUPATION D NIED:
FOR THE FOLLOWI REASONS:
CONCURRENCE:
DECISION FINAL ON: October 28, 1987 5:00 PM
ANY PERSON WISHING TOAPPEALTH{S DECISION MUST D(} GD (NWRITING, CITING
REA8ONG.TDTHEPLANNIN{�DEPAHTK4ENTBY 1---'—
0 DAYS
FR(]K4PO8T|NGDATB Al ~ �
ADDITIONAL INFORMATION |GAVAILABLE FROM THE PLANNING DEPARTMENT AT25O
FIFTH AVENUE NORTH, 67575&ZW6� 771 -3202 EXTENSION m�� *�~� ���� �
~-- *�w�*�~ w
THIS POSTER MAY BE REMOVED A rop ;�W&7
............ A ............. PM ...... .................
The removal, mutilation, destruction,
NN concealment of this notice prior uothe
WA R N I N %2 � date above is misdemeanor punishable by
FILE NO.
Cu - 58- 8 7
APPLICANT
Keller RoCkeY
AFFIDAVIT OF MAILING
STATE OF WASHINGTON
ss.
COUNTY OF SNOHOMISH
Leigh Francis
being first duly sworn,
on oath,,d.eposes
and says:
That on the 13th day of October 19 87, , the attached
Notice of Decision was mailed as required to adjacent property owners, the
names of which were provided by the applicant.
Signed
Subsc ribed and sworn to before me this day of
19
- 7—
Notary Public in and for thp- Stete of
Washington.
Residing at
My, COMMISsIC)N EXPIRES '646�89,,
FILE NO. Cu--5-8-87 . .....
APPLICANT Keller Rockgy--
AFFIDAVIT OF POSTER
STATE OF WASHINGTON
ss.
COUNTY OF SNOHOMISH
Leigh Francis being first duly sworn, on oath, deposes
and says:
That on the _ 1 4th day of ogtob lg_U , the attached
Notice of Decision was posted as prescribed by Ordinance, and in any event,
in the Frances Anderson Center and Civic Center, and where applicable on or
near the subject property.
Signed
Subscribed and sworn to before me this Z 116-0 day of
1 9-f
Washington.
Residing at
My, COMMISSION EXPIRES 6.16-89