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22307 97TH AVE W
ADDRESS: 3�7 Uj
TAX ACCOUNTIPARCEL NUMBER: Lt 0c)
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR- -
CRITICAL AREAS: 19q q - pa DETERMINATION: E] Conditional Waiver F] Study RequiredNWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): I I-tIV-1 -
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: 4?, j �
f
SEWER LID FEE
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED.
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LID #:
LOT: BLOCK:
LATEMP\DSTs\Forrm\Street File Checklistdoc
0 6
PLANNING DATA
NAME: aa-mt� 1, -Fe-r; DATE: 9'/Z5-/06
SITE ADDRESS: 4Z30-7 - 9 7- A-,O-. I.J. PLAN CHK#: 2-00,� 09
PROJECT DESCRIPTION: P-AA;;, rell- - Wt-- " lAr" - 10' 1. ZZ. S
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REDUCED SITE PLAN PROVIDED?: (�l No)
MAP PAGE: 104 CORNER LOT: (Yes FLAG LOT: S *0
(XgL
ZONING:. Ps-e —CRITICAL AREAS DETERMINATION#; 199102,&)
LlStudv Reauired:
LdWaiver
UConditional Waiver
SEPA DETERMINATION:
UFee
Ll Checklist
LlAPO list w/ notarized form
Q (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
0 Exempt
SETBACKS:
Required Setbacks: 75
Street: 2,1;- Left Side: Right Side: Rear: 1 15
Actual Setbacks:
Street: 32V Left Side: I (V Right Side: Rear:
Street map checked for additional setback required? (Yes DNLN)
U�DETACHED STRUCTURES: 5 VzA pl-kb A4�.
U ROCKERIES:
LJ FENCES/TRELLISES:
L3 BAY WINDOWS / PROJECTING MODULATION: Co^v �Ul
U1 STAIRS / DECKS: 9/1'v- f-� SA44* ; -� 3A_' --A- - �_,"
PARKING: Required: 2- Actual:
LOT AREA: & s-"f04
LOT COVERAGE- 2,313 4-
Calculations: Ar S-0, t' 1" 17
BUILDING HEIGHT:
Datum Point: :6t �4 Ar'Ly - 14- bkke' Datum Elevation: too I
Maximum Allowed: V 58 )_Actual Height: 1.5.5
_� Yes)
A.D.U. CREATED?: M�o
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes /(&0
OTHER: " c,,,, , ., 1995-,
Plan Review By:
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Site Information (soil shopo graphy/hydrology/vegetation)
I . Site Address/Location: 97 72� AVE �O
2. Property Tax Account Number:-55q 5- 600 co I C) 0
3. ARREqximate3,ite Size (acres or square feet): /6
4000
4. Is this site currently developed? yes; no.
If yes; how is site developed? i N C, L E f;ftM I LI
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 I 0-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
I 0-feet over a horizontal distance of 33 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: �j 0 Approx. Depth:
7. Site contains areas of seasonal standing water: tJ 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway �JO floodplain ��D of a water course.
9. Site contains a creek or an area where water flows across. the grounds surface? Flows are year-
round? — N 0 — Flows are seasonal? (What time of year?
10. Site is primarily: forested ; meadow shrubs mixed
urban landscaped (lawn,shrubs etc) _X'
11. Obvious wetland is present on site:
-------- ------------
-bnj�: ------
--- ---------- — ------------- -------- or. Cft�.-Stdf Use
Site is Zoned
rh* d
�ppe soil ty�e(s�?:,",ff
Wetlarid' iq v*ent' r: '' `-C*A.*.'7 mi" ap'ind.iqaies'.W�tland p
9 y or resent on site...
:4. CrItica . ]'Are-ai i��i6r di 'a
....7 map ip.)c. tes Critical Are*aon sitie'? NA_J
Sit' thin desiii6iid earth h�zard'
e wi
area
§ite d6signated on. the Enviro6metitalN�se
n.�itive eas'Ma�!*��,_
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d6ved'bY/;/_/
�a_chk.d=; Ray 10/03/97
City of Edmonds
NA�� CRITICAL AREAS 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 Axeas 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 submi ' t 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 infor m-ation (e.g., site plan, topography
map, etc.) or §tudies in conjunction with this Checklist
to assist siaff 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:
4 rin _F(p C)
Name
,2�3 D-7 - 92 AVF-� tA�
Street Address
b MOND � WIA �01 ff DD
City State Zip
(� ;LE C)Q&
Telephone
Signaiure
Applicant Representative:
RM-To-
Street Address
City State
Zip
Telephone
Signature
Date
c:reccpdon\jana\cac1.doc
Date
(over)
C.
September 23, 1999
Kim Tornow
2230797 th Ave. West
Edmonds, WA 98020
0 0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Subject: Determination regarding Critical Areas Checklist # 99-261
Dear Applicant:
BARBARA FAHEY
MAYOR
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 Critical Areas Checklist "DETERMINATION" for your records.
-.11--l- .................. ...,... .............. ...... - .... 11 ...... ...... ...... ......... .... .... ................... ....................
........................... . .. .. .... ... . .. ... .. ...
.... .... IMPOR-MNrINFOAMATION TO BE NOTED: ...........
. . ... . . .....
................. 11 ............ ...................................
... ... ............ .......................
............... ............. -
.........................................
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONME (LIS OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
moo. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL .4111111111
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
4-*
Architectural Design Board
C:Reception\Jana\CRLTR.doc
Thank you.
Sharla Graham
Planning Secretary
Incorporated August 11, 1890
Sister City - Hekinan, Japan