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23716 102ND PL W
ADDRESS:
TAX ACCOUNT/PARCEL #: 00C)// 60
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: F1 Conditional Waiver 0 Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED: Nib
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENC ROACH M ENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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maintenance of any ciirrout
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or site condition is outside the i of the
permit application, raprdh,�m of whether such
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Applicant shall repair/replace all damage to
utilities or frontage improvements in City
right-of-way per City standards that is caused
or occurs during the pstmfttbd project.
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
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APPROVED INUNIZER11NG RESUB
MAR 2 3 2010
BUILDING DEPAWMENT
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RECF-IVED
MAR 0 8 2010
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
� 'FILE
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Name: Mck
Date: -azl Ch r)
\J
Site Address: Q kG t0ald �lw
Tax Parcel
Project Description:
Plan Check #: qCA0-0\5Z
Reduced Site Plan Provid'ed:(C�?NO)
Zoning:
Map Page: 00
Corner Lot: (YES
Flag Lot: (YES
Critical Areas Determination #: NIA
0 Study Required 17c,
ICN 01
El waiver
SEPA Determination: a�KR-cv,
JR Exempt
0 Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required.5etbacks
Street:
Side: /
Side: "S
Rear:
Actual -M:Jb Ne�tz-*
Street:
20
Side:(,) —
_74
I
Side:(,�
Rear: (W�
Detached Structures:
El Rockeries:
El Fences/Trellises:
;W Bay Windows/Projecting Modulation: �,4,,doc-0 !%�nCx,-X-\ or\ IPN-b�.
El Stairs/Deck: %Vo&3r%
Height
Datum Point:
Datum Elevation: A11A
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided: tq,
Lot Area:
Maximum Lot Coverage: —35% �4posed:
Lot Coverage Calculations:
q1 %
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Comments
STREET FILE
Plan Review By:
1-00;---
Planning Data Form 07-14-09