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23327 94TH PL W
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CITY OF EDMONDS
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E . DMONDS, WA 98020
CONFORMED COPY
200711080�94 1 PG
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SNOHOMISH COUNTY, ASHINGTON
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 3.,
Edmonds, Washington
Legal Description:
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As s essor's Parcel Number:
,!.have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Ed ffi.onds. Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21,05.015 is prohibited until an Accessory
Dwe I 11ifig Unit Permit is approved,.
I also understand that- an Accessory Dwel.ling.Unit Permit cannot be approved -unless all
,:the criteria in Chapter 20.21 are met, and all the necessary items are submitted, including
an affidavit of occupancy and a covenant to be filed. with.the Snohomish County regarding
the- regulations imposed on Accessory Dwelling Units.
Property Owner Signature:
Property Owner Name in
�Date:
STATE OF WASHINGTON)
COUNTY OF:9��[) �IWW0
96"�'e_
0,1� W "-nmri.� Ga4rAeel -
I ' certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and volunfary act for the uses
and purposes mentioned in this instrument,
N
seals must be smudged.
C H R Signature of
s�ON
Rotary Publii
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Residing at:
Expires:
ICHAEL L
THIS. DOCUMENT MUST BE RECORDED WITH SNOHOMISH COUNTY AUDITOR.
PUBUC CO
�V'UARYI' T/I
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