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DATE
FEE
CITY OF EDMONDS
RECT
BOARD OF ADJUSTMENT
APO'S
APPLICATION FOR VARIANCE
HEARING DdT' E Z
APPLICANT ADDRESS-
ZIP- fro Ail-, 0- J-0 j
CITY & PHONE
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INDICATE TYPE OR DEGREE OF INTEREST IN PROPERT
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LOCATION OR ADDRESS OF PROPERT
LEGAL DESCRIPTION OF PROPERTY
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VARIANCE REQUESTED: C) 6 YA4Z-6 S�EtBACi� 60 CX)5tjf,-qj 6vi-r-0)"
FOR OFFICE USE ONLY
USE ZONE:
ZONING ORDINANCE REQUIREMENT: 1 0 /A izX
STATE OF WASHINGTON) ss.
COUNTY OF SNOHOMISH)
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Signature of Applicant,
Representative
On this date, before me, the undersigned, a Notary Public in and for the tate
of Washington, duly commissioned and sworn, personally appeare IL'444�
who, being duly sworn, onh4rs-/her oath.deposes and says that (s)he has prepared.
and read the attached statements and has acknowledged to me that the recititations
contained therein are true, and has signed this instrument as-h4e-/her free and
voluntary act and deed for the purposes therein mentioned. ' ik'
Subscribed and sworn to before me this day of 19 9b
1, It
Notaiy Public,in and for the e of Washington,,
residing at '�t
DECLARATIONS.OF APPLICANT
W
Please answer all questions
What are the physical characteristics, (i.e. topography, shape:,
of lot, etc.) which create a hardship for you in re ard to
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development of your property?
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2. How does your property differ from other property.in the same.
vicinity.?
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3. Will this variance be detrimental to the public or damaging to
other property or improvements in the vicinity?
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4. What hardships will result to you if the variance is not granted"
Will these hardships have been caused by your own action?
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