21725 85TH PL W.PDFIIIIIIIIIIII
8100
21725 85TH PL W
03/08/2006 14:50-FAX RECEIVED
MAR 1 0 2006
0002/003
"7C. IS9,
DEVFrL N,
C. ity o i T MON s
Development Services Department
Planning Division
Phone, 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
'Me 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
surveys).
Date Received:- �,,j / / 6
City Receipt#: 6Z& 3.�
Critical Areas File #. nr- - nog
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
A property owner, or biAer authorized rep*resentative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc,) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessMent of the *site.
The undersigned applicant, and bis/her/its heirs, and assigns, in consideration on the processing of & application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the inform, 61n and exhibits herewith qubmitted are true and correct to the best of my
knowledge and that I am authorized to fileA$ applicatioli gn'the behalfbf the owner as listed below.
SIGNATURE oF APPLicANVAGENT bka DATE 3 4 -0
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
DATE
Owner/Applicant: Applicant Representative:
MV-by-d 0-,na -To S o -\
Name Name
-7 3,q 0 t --11 +-V) S-f- SLO
Street Address
r r. I
ea M 0 n a GUIA q'Slo 2 0
City State Zip
'? 0 "3:q 9 q 55-1-
Street Address
Sf-i44-H i-
City State Zip
Telephone: Telephone: 50b- OtOW
Email address (optional):
r,;t—i A— r�—W;o, f4-1A 11 1AM
Email Address (optional):
03/08/2006 14:50 FAX Z003/003
Y -#'%
CA File No:
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: grst'p � . C/o ,
2. Property Tax Account Number: 00,40 S-Y 000,()OSOf
3. - Approximate Site Size (acres or square feet): 114 acv-e. to-�-
4. Is this site curreintly developed? /yes;_no.
If yes, how is site developed? GIP (Z
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 verti�al 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 floodway floodplain of a water course,,
9. Site tails a creek or an area where water flows across the grounds surface? Flows are year-round?
C7 0 Flows are seasonal? - (What time of year?
10. Site is primarily; forested meadow. ;shrubs mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only M X0 fr I
Q
1. Plan Check Number, if applicable?
2. Site is Zoned? PP—, —
3. SCS mapped soil type(s)? cc,,
4. Critical Areas inventory or C.A. map indicates Critical Area on site? NO -
S. Site within designated earth subsidence landslide hazard area?
DETERMINATION
�tEQLJIRED
WAIVER
Reviewed
Critical Areas Checklist.doc/4.22.2003
"'�INTER-OFFICE COMMUI :ATIONS
WPM DATE April 1.4, 19 '75j
a I M E EE IT 119 1. E
TO W. Harrison Rowe FROM William J. NIMS
Planning Department Engineering Department
SUBJECT: v li.cation for Pence at 21725 85th Place W.
Pursuant to Ordinance 1760 relative to Section 12.14.040 (2), a field
inspection was completed on April 11, 1975, which indicated the following:
1. AWNS 61 high solid fence is located in City
right-of-way.
2. It is existing nonconforming use.
3. It is not a traffic sight obstruction from a safety
standpoint.
It is this Depaptment's recommendation that the variance be apprnved.
Would you notify the property ownersf
WJN: mj r
V,
F-2; APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS EASEMENT No.... .......................................
%-T CONTRACTOR .... . . . . ....
OVVNER ..... 4-lMF-.kR-RY- z__. -
........................... ... ...... ........................ ----------- --PER-MIT-No�-A�AE6.,
-7 rz � 7
ADDRESS A ............. . ........................... : ...... ............... ............ LEGA-L-DESCRIPTION-- LOT No . ............... ............... :.z ...... -BLCC K- No. -
"FRAY -L&MM
NAME OF ADDITION ................... -- .... ......
Sea -At�w
, c � 4, - tl: -2.
A. R- -"n &L -- c i K - - -"T c v- vd: u
F�
S SEWER PER MIT
IDE.'
NY,,
WATO�SEWEW DEPARTIME,
t 8.
a
any,,,porti6m iof
,(,CaIL17.76',M0T for� k6-,,sewer, Inspec ions, :BEFORE� coverInkf, the co�strudtloni,,)�:�
lnsRec'6o'n,,�viIL,be! proviGa within, `24 �bourw,afterreqU6 . St. N& , S�t., Sum, 'holidis., ins-p:ecfi ons.
%
... ............. ......................................................... ............................................ .........................
RT E 7 '"PrTy
PROP%, Y'Ll GWL 'DESCRIPTION .................. .
............................. ................. ............. ...
. . . . ...................... ......... ....................... ........... .............
..... ..................................... ......... ........................ ....... ...................... ............................................................. ................................ ............
............................
......... .............................
......................................... ................. OWNER AXWO&OWL kR ..... ................... ............................ ...... ......... .......
ADDRESS..:.'
.......... ............. ...........................................................................................................................
................
21 f
.'Pennissibn� ls� granted ...... i�Ec ................ -.1,19! .... �'.Xj- for -iopai aftd/ 0*�,, c6hriectioloo'. it,,sidii 's6Wer:,fo;.:tho! �clty sewer,
..... * ----- ****.* "' i 1_1 - I I .. jr. .'sanitaiy
system. -in) accfirdir" ivithrCity o�f'.,Edmon'ds,ordihanees.
W
I�ENTION ISI CALLED TOITHE F-OLLOWING:
No., 1—The wners! of tbie-`property�'niay obtain a -permit to bonst.ruct sewer; inside -pr�pir�y, -iine.; A.-licenied Side Se"4'r,"bpritracto�, ffiu4,,b' emplb��d 'to
side �sewer imst�4etl!a:r&L. -9��ri�t-cover`any'portion,, of sewer,befor6'it, hasL been: Inepected.,-. onptruct
NOTE No;, 2L—AIII, work performed" Iry city.,right-bf..wELY,t,c�qf,ii.rds, an.In�*Ionlof_L Rlght�of-Way Perrntt;obtS.I6abIe,,_froiri the�Cltj Engineer' s.yoffice.
NOTE(Vo� 3--Obtaln fulf'Informationt.rega*rding, ordinance -Ir.16.030 and' Regulatlons�-,goverplhg. siclez:sewcrs' whenj you- jei'�permlt.
,N&rE -No. 4—Top) c&side sewer,�must fiave'�at, leak '.'361 inc�es- coverage a!t- property line, and� 1:,21:fn'e tgrade,
he y �ine;:,minlmuff,,--grade- of -No-, befids in
Sharper than W will be.�permitted,;
NO�r-E� No'. 5.—Trenchbs- ln',dtreet must �belwater:settled,an& surfa'.c6,.of'.,striet�.restored�,'�6'�qriglnEd�-',,dbpditldn-. -Contractors shallil�be responsible.4or fiiIbre-.-due,.to, lmproper
work mlilch,'m
,�y.d'evelbIi�,withir� -one ycan:of:xompIctIon;.*�,
NOT-A'NO.. 6—It is, unlawful, to, alter;ov doi,any,other' work thaft Is forin the,'perrnit wn:t0;d6any-wo;rIZ, on thef.rnain, sewer-orits--appiffte6ane6s�,exbeot to. in-
'sert the !pipe -into the wye.,
DISAP,PROVED, E], Date;
......... — --Dato.
a e .... ................. .....................................
. ......... ................................................ _; . .................... .
APPROVEU
S ....
�:n
......... ..... . ...... �Z
............... ...... - --- -- -- -- --------- ---- -
C
B0THl;Pem5 G opiei �MVST,.Be;§igne4�,'�.Py Owner i of �Vlrni�',Performing, onstructiow:-PRIOR To, Request,, For� Inspection
h eb rtif�,-'t. ai� h6�sidb,,s6,%,�,'&r�-iri;g't'a;liiitibn:;c6nstructed,-�undpr,'�t-his� permit,
. .............................................................. 't-er yp�c�
er�,of,.Contracting Firm" �Per frr�n Ing,, fConst ruct ion,)�.'�,
\s! inst invac6ordance,.w.ith,�all�gpverning:6rdinaiicestiof"the,City:of-Ed*hionds.
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