23322 75TH AVE W (2).pdfv
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CITY OF EDMONDS
BOARD OF ADJUSTMENT
APPLICATION FOR VARIANCE
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HEARING DATE:
APPLICANTdt/r- foRal Tof1,V,5, 4/ ADDRESS oLS3.�;Z 7
CITY & ZIP EDWO& d6 q9020 PHONE 77e-100(o
INDICATE TYPE OR DEGREE OF INTEREST IN PROPERTY IVAI e-/�
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LOCATION OR ADDRESS OF PROPERTY Z390 75
LEGAL DESCRIPTION OF PROPERTYJ�, IV,rt4 F1 -7
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So Adi'Lila a No. I. lass -the \,�-h /17 heet,- Vid 9 of PJa ae ovae J-7, lwahamad Ca.
FOR OFFICE USE'UNLY
USE ZONE: 0SI!-IPT
ZONING ORDINANCE REQUIREMENT:— t q La b 2
STATE OF WASHINGTON) ss.
COUNTY OF SNOHOMISH)
Sigq4�re of( or
,Wplicant, Owner,
Representative
On this date, before me, the undersigned, a Notary'Public injnd.for ')��Stjte
of Washington, duly commissioned and sworn, personally appearedLLWA,
-1- ZVwho, being duly sworn, on his/Imo-oath deposes and says that fs)h s pre red
and read the attached statements and has acknowledged to me that the recit tations
contained therein are true, and has signed this instrument as his/hee- free and
voluntary act and deed for the purposes thereiueentioned.
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Subscribed and sworn to before me this da Of Qu.�t�'
Notary Public in and for the State of Washington
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