23820 EDMONDS WAY.PDFIIIIIIIIIIIIII
11114
23820 EDMONDS
WAY
ADDRESS:
TAX ACCOUNT/PARCEL NUMBERM q (s 3 k S D I W-3 L k U2—
BUILDING PERMIT (NEW STRUCTURE): I qLo[�
COVENANTS (RECORDED) FOR:
"41 DE
CRITICAL AREAS:—eA c%O?-A 70 TERMINATION: 0 Conditional Waiver nStudyRequired kwaiver
DISCRETIONARY PERMIT #
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
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 / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LATEMP0Srs\Fom,s\Street File ChecklisLdoc
City Staff Use Only
1. Ph, n check Number, if applicable?
2. Site is 7oned? P- M L 5.
MM
3, SCS mapped soil type(s)? _1 III ........ .... .4
4, Critical Areas inventory or C.A, map indicates Critical Area on site?
5, Site within designated earth subsidence landslide hazard area? ___6 -0.
DETE'RMINATION
-STUDY REQUIRED WAIVER
a.�_— -0 Ri�_.
Revi ewed, o (,v Date: J� - 1�17
E
GUY of tdmon&
Ip
DeMopinent Services Depai-rinpit.
Planning: DWS10TV.
Phone.. 425.771.02,20,
Fail. 42��Iu,:0221
The,CriticalArcas Check,li-st containedon this form is to A proPCrtY_ "qfi Or his/her authorized -representative,
be ;filled 'out by any: pcTson: pircianinig a D evelopment 'i ii t i st fill out the clic'&kfi'st, sigri'and"dalteit,,an ' dsubmit it
Terrilit.Application for the City of Edmonds prior to to the City. The City will re -view the checklist, mAe a
his/her submittal of the,applilcation to the City,. ite visit. and make a determination of the
step neemary to�,CoTnpletd a development
The purpose of the: Checklist is to -enable City staff,to
p It, app licatibm
dete,nnino,wheffier any. 'potential C�riticaf,'Xr'�eas� are, or
�rnay V, presp ow the �isii�ject property. ,The in formation, Please submit a: vicinity map, along �Nyith.the, signed copy
(07 com klt '6 $1 of, th — Jo F r . n q t , o, a ss I as t " C ity ff ding and,lodating the
neede plete the lelc is QUI 'ea sta , in fIrl
available ftorn observations of the site or data a vai . lab le at spec I ific,piece of property deseribed �6_w this f6rm. In
:Hall (Critical area il addition, t e:appicant 'shall inOu'de other pertinent
JECS r so h I
surveys). ,,.information,I. site�:T�an. topography, map,, etc.) or
wnh�,this..Chocklisvto assistant.staff
FEB 6 2007
h
t t cirpre irninary. I
jwcorrip q Ing assessmet t of
d
The undetsigni�0',Opolicant,,,,and:,hitVherlits heirs,,and�.asslgns, in,const eration� on the xprocessing,pt the.application agrees
torelease, indeninify, defend and hot the City ot , Edinonds harmless .. from i , i ny a �11 �darn ., age . s, including teasonahle
b d h e or part,upon `fhlse� tnisteadin
attorwy's fees, arising from any -action or infiraction ase in W 01 g�� inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By My si ature, 1: ctr fy't
�gn �ti hat the information and exhi bits. herewith submitted are true and correct, to tfi�'bcst,of my
knowWgc andthat I'arri'authonizcMbfifle h" - lication on'the bebaff of the.owtier as:listed below.
app
Jf �_Oj
SIGNAME OF APPLicANT/AdENT
17-9 0 CV.6L0 P"I CW -Tf t-- C-
Pro ertYOw.,nerIs.Aufk0i0*4tj4
By Mysignaturei Icertify that'l ha%It" a t o the at�dve AppficanY gent-t9'aPpI y � 1� or I Ahe subject land use,application,
gMjitrnyPeMIis9ion:fbr�the publIc:oM,c!ial-s,and the st�ffdtfie City-ofEi-drLionds toenterJfie�subjpqtpropert
ry for the
purposesof inspection andpo
Northwest Townhomes, LLC
SIGNATUREOFOWNER
by: Steve Smith Development LLC, DAM
authorized gent
Owner/Applicant: by,�o4wff. Tu—Ilivan, CFO Apojican t WpreseRtative.: ,
Steve Smith Development, LLC
eveiconient ee., LLC Attn: John Sullivan
Attn: 10 A00 N 77 5V 4,04 s-� 9500 Roosevelt Ave NE, #300
1316 NE 80th St., Suite #203 Seattle, WA 98115
S Seattle, WA 98115
City �talte Zip C�jty State Zip
TelcT.hone: ZO& X 6 3 q�_3 Telephorie: 3
Eniall address (optional). Ei-aail Address (optional): we
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