22915 75TH AVE W.PDF5991
22915 75TH AVE W
ADDRESS: t7
TAX ACCOUNTIPARCEL NUMBER: -1 JU ze
BUILDING PERMIT (NEW STRUCTURE-):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required/,Q�Iaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED:
SEWER LID FEE S:
SHORTPLAT
SIDE SEWER AS BUILT DATED- A
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA'
LID 4:
LOT: BLOCK:
LATEMP\J)Srs\Fomis��eet File Checklist -doe
PROPERTY OWNERS- SUSAN & LARRY SWARTZ
PROPERTY ADDRESS: 22915 7AK Avenue West. Edilmo 026
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PREPARED BY: Larfy Swartz 'DATE:
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PROPERTY OWNERS:
SUSAN & LARRY SWARTZ
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PREPARED BY: Lar[y Swartz DATE: 12/15/98
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APPLICATION
for
CARD No . ............. . - .... ..
The City of Edmonds SIDE SEWER PERMff EASEME . NT No . ........ / ................ ........
OUTSIDE INSIDE 0 REPAIRS 0
OWNER ..... V4C�VVV ...... ......... rc .................. ................................ . CONTRACTOR ............ A-044g. /70 . .......... / ..... ........... . .. . .............. PERMIT No.
HOUSE No . ..... STREET ...................... ... .... .............. ....
....... �b ...................................................... AVENUE LOT No . .......... 7 ............... ...... ....................................... BLOCK No.
NAMEADD --- ..... . . ...... 2 .. .. 0 ................................... . . .... .. .... ... .....
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Date Approved:
BACKFILL WORK ORDER ISSUED .................................. ......... DEPOSIT, $ ......................................................
SEWER WORK ORDER ISSUED ................................................
DATE .. ..... .......... ........ BY ........ . ................................
...........................
0 0
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
=FILE I
Name:
Date: A �- /C)-;
SiteAddress:
Plan Check ff:
Project Description: KA�exlk (-e411--%000 ne4z-, VaK�
Reduced Site Plan Provided: (9/ NO)
Zoning:
Map Page:
[Corner Lot: (YES
Flag Lot: (YES AD
Critical Areas Determination ff: C(ZA- 1992�- OQ-77
11 Study Required
Pqwaiver
SEPA Determination:. 15xecvCLk
Exempt
Needed (for over 500 cubic yards of grading)
El Fee El Checklist El APO List with notarized form
Required Setbacks
Street:,,,,)
Side:
Side:
Rear:
u'5
Actual Setback5
Street: /+
I Side:
Side:
Rea r:
El Detached Structures:
11 Rockeries:
El Fences/Trellises:
El Bay Windows/Projecting Modulation:
Stairs/Deck: C>C\
Height
Datum Point: N/A
Datum Elevation:
Maximum Height Allowed: e
Actual Height:
&6 ck\�a,,ae- A70 C-CKniCk%r\e-
Other
Parking Required:
Parking Provided: hjc:� e-
Lot Area: NO AMP-
Maximum Lot Coverage: 35% P-?4,osed:
Lot Coverage Calculations. ?o�-A-, Ziz, Z' IKI!1�
ADU Created: (YES 0
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES 0
Comments
Plan Review By: Planning Data Form 04-11-06.doc
ILE NO. '7 -1
Critical Areas Checklist
--------------------------------------------------------------
WBAnation (soils/topogra'phy/hydrology/vegetation)
"."4",aWdless/Location: 1�'Zk9l VS
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): Ly T 5, L ,2;6 -10 �Y. 11 SK 770-,11
4. Is this site currently developed? yes; _ no.
If yes; how is site developed?
5. ' Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site. ?,P4�,�fzr> M�EA
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet). V-(Zao.A T:Aot,�T YAf-t> _T7_'> �>"VAJ2,0,
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical 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 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 C2 ; Approx. Depth:
.7. Site contains areas of seasonal standing water: 0 _; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway b,) f? floodplain- of a water course.
9. Site contains a creek or an area where water flows across the grounds sufface? Flows are year-
round? L) 0 Flows are seasonal? M (What time of year?
10. Site is primarily: forested 1 0 meadow No shrubs t�d mixed K) 0
urban landscaped (lawn.shrubs etc)
11. Obvious wetland is present on site: V__ tAo
-----------
For:City.:Staff:Use0n1y
-------------- -- -------------
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^ca_chk.doc; Rey 10/03/97
City of Edmonds
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RITICAL 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 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).
Owner/Applicant:
9104
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Street Address
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City State Zip
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Telep, Lw�
Signature
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
c:reception\janakaddoc
(over)
1,0 C. 18,),3
November 25, 1998
Susan Swartz
2291575 th Ave. West
Edmonds, WA 98026
0
CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning/Building 9 Parks and Recreation Engineering e Wastewater Treatment Plant
Subject: Determination regarding Critical Areas Checklist # 98-277
Dear Applicant:
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.
........... ........ .........
... IMPORTANT INFORMATION To BE NoTiED.
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONAIENTAL CHECKLIS OR -CRITICAL ARE4aST_UDY.
The .'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific 'determination not a
project -specific determination.
010, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. 40
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
* Architectural Design Board
Thank you.
Sharla Graham
Planning Secretary
C:ReceptionUana\CRLTR.doc
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