22103 96TH AVE W.PDF9444
22103 96TH AVE W
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CA FILE NO. (20- 1 to 0'
Critical Areas Checklist
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Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: -z -Z, 1,V —5 !?6 Z4.."
2. Property Tax Account Number: 6 4,4-t, - tA-;VZ- -4A:*4- - 0,::%0 -7
3. Approximate Site Size (acres or square feet): 144=a jg�E --I--
4. Is this site currently developed? >< yes; no.
If yes; how is site developed? el �O !6 P 9—
Describe the general site topography. Check all that apply. RECEIVED
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a SEP 26 2000
horizontal distance of 66-feet).
PERMIT COUNTER
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: 4/2> ; Approx. Depth:
7. Site contains areas of seasonal standing water: A1,0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway &Y2 floodplain AJ�0 of a water course.
9. Site c ontains 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 meadow shrubs mixed
urban landscaped (lawn,shrubs etc) -------------
11. Obvious wetland is present on site: "10
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ED critical Areas File
City of Edmonds Critical Areas Checklist Fee: $45.00
Development Services Department Date Received by Dev. Serv. De t: 6V
Planning Division City Receipt No:
Phone: 425.771.0220
Fax: 425.771.0221., Da . te Mailed to Applicant:
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CRITICAL Alnlrv-JAS CHECKLIST
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 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 surveys).
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).
PLEASE PRINT CLEARLY
Owner/Applicant: Applicant Representative:
Name f,4(0&r,4_ Name
Street Address
City State Zip
Telephone
Signature
Street Address
45�-We,ell 11,14.
city State Zip
I %IB5 - -3 1%;0 - 15 40 44r'-01
Telephone
—Signot6e
Date Date
d:receptiorLianatCACLHandout.doe
Revhied 4110/2000