24228 101ST AVE W.PDFiiiiiiii ' 11
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24228 101 ST AVE W
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Site AZI&essZjLocab WIWI,
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P u
; 4.7,
ropez
40"
'Are eet)i�
I Appr6 te S i te* S lie" (a' & e s" 6r"s*q 'u"i I
es;
4. ls*this site currentl develo-Ped?:IVY,
y
If yes; how is site developed?
'l- -IMMA
15Y.
5. Tesc
#b� the giineial site topography, Check alltha"t a"
ppy.
Flat less than 5-feet elevation chahge over entire site*.
A
Rolling: slopes on site' generally less than 15% (a vertical rise of lkwtpy?
q>
horizontal distance of 66-feet).
Hilly: slopes presenton site of more than 15' %and less than 30% (a verti . cal
rise of 10-feef over ahorizontal distance of 33 t o_ 66-feet)
Steep: grades of greater than 30 % present on site (a vertical rise of 10-feet over,
a horizontal distance of less than 33-feet).-,
V"' Other (please describe):
2e_'T7'0_"
6. Site contains areas of year-round standing wate Approx. Depth:
7. Site contains areas of seasonal standing water: Appro)L De
p
What season(s) of the year?
8. Site is in the floodway___)j.,d__ floodpl'ain of a.water cour , se.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? L.4 Flows are seasonal? 29d2 (What . time of year?
10. Site is primarily: forested ; meadow shrubs
urban landscaped (lawnshrubs etc) lv� mixed
11. Obvious wetland is presenton site:
Tor City t�jff I se
ell
-site is Zoned?
2. SCS mapped soff type(s)�'—Aur,> v9s Lt.� elpf PIK
.3. .. .. Wetland inventory or.C.A.: map indicates wed
and pre�ent on site?
4. -Critical Areas inventory Iqr*C.A.* map indicates Critical Ai -ea on site?
5�.- -Site wAin desi
gnated earth subsidence landsIide hazard a'rea?.
-Sitedesignat0d on the Environt�e�8ensitive'Areas Ma:
IP
The Critical Areas Checklist contained on this -form.,is-.". An'ap�lic' afir,"�or Us& e_'r'4r'6p_-re'se'
to be filled out by any.., person,. preparin
g
4
f Th& City will,,. review. the
Development �'Permit. City-,.'o
Edmonds ' prior -to his/her subn-dttal of a development precursor y� ifte, -v,i�sif,,, =4 rri�kd i det� ril f t h6`4
permit to. the City."
subseqiient itips n6ce'ssky to complete" a development
p ermit apWicatio
The purpose of the Checklist is to enable City staff to Please submit a vicinity map along with the signed
determine whether any potential Critical Areas are, or copy . bfthis form to,Assist, City* staff in finding'and
may be, present on the' subect property. The locating the specific piece of property described on -
information nee&d-to cozriplete%-the Checklist- should, this,, form'.--- Jn�"addition, the applicant shall'include'
be easily available from observations of the site or other -pertinent information (e.g., site plan, topography
data available.at City Hall (Critical Areas inventories, map,etc.) or studies in conjunction with this Checklist
maps, or soil surveys).
to . assist staff in completing their. preliminary
assessment of the. site.
I have completed ihikiach�d Critical Areas Chicklist:and :attest that di�'�-a�n"s*'w'-e'-i�fpr6vidEd�arefaCdtual;-t6'tli6,,*-,-
best of my knowledge (fill out the appropriate column below).,'-`
Owner/Applicant:
&I �R-.�"ATW
MWF1101�
W, I MW WIA_F�
Street Address
A aAq
City State Zip
644101-11��
Telephone
41;-- Y_,Z-3
Signature
Applicant Repr'esentative:
Name
Street Address
city State Zip
Telephone
Signature
.71
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