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24232 FIRDALE AVE
CA File No�,Qa;
.-Critical' Areas�.,,Qheckfi'st
Site Iriforme&6fi,('S0"i1'S_/ to P6g,r. aii 'p"h'y,-/,$ydro16'_ veget&i6ti)
gy/
1 Site, Address/ jocdtion: RVJ�q_ 1=1��LX AVE, CPMVA"�05 id,+,
2. Property Tax Account Number: 0 C�(, 2) 01 n C>qOOT!��40* P,
3. Ap'pro* ximate Site Size (acres or siq'uamif eet)
4. Is this site currently developed? _Zyes; no.
If yes; how is site developed?. -s tqy)�, aw % (4 res i4e v4e--
5. Describe the general siitL!i.'t` �dphy. Check a thatipp"I'y"
1770F,4
100�'. I — .
Flat: less OiaA 5-feet, elevation qha�ge over entire site.,
Rolling: slopes on site �jei4r all� I �6'6 than 15% (a -vertical -rise, of: 10-feet over -a horizontal
distance of 66-feet)-.,('�..
wkj
loss t 730 a -10 -f ee t
HiUy:. sIopeSr_pjre�ent,,on_sU'e. oumm-,than -.15%'and. haii' "'% -veiticafrise 6f
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30*k"present on site (a vertical rise of 10-feet over a horizontal
distance.of less thari 33-feet)."
Other (please describe):
6. Site contains areas of year-round standing w*ater': NO Approx. Depth:
7. Site contains a reas of seasonal standing water: /40 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway NO floodplain NO of a water course.
9. Site contains a creek or an area where water flows across.the grounds,surface? Flows are year-round?
NO Flows are seasonal? year?
10. Site is primarily: forested meadow ;shrubs mixed
'73 ecs
urban landscaped (lawnshrubs etc) Ye
11. Obvious wetland is present on site: N 0
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Critical Areas Checklist.doc/3.19.2001
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City of Edmonds
Development�,� ces Department
Planning Division' ''
Phone: 425.7,71.0220,
Tax� 425MI.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City'staff to
determine whether any -potential Critical Areas are, or'-'-;
may be, present on the subject property. The information
needed to complete* the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
A property owner, or his/her authorized representative,
m 'f
ust � ill out the checkli§t, sign and date it, and submit it
to the City. The City will, review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit:a0plication.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece"of property described on this form. 'In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any. action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT —1�0� DATE
Property Owner's Authorization
By my signature, --I certify that I have authorized the abc
and grant my permission for the public officials and'&
purposes of inspection pos ng a,Ltendant to th,
SIGNATURE OF OVPW� 11
Owner/Applicant:
CqrRR1*NAF_
Name
icant/Agent to apply for the subject land use application,
the City 'of Edmonds to enter the subject property for the
5-21-62- .
Applicant Representative:
B pu� *W 4 t4sox zcotq -re,+c T-op-
Narne
F i u,+LE 4v E,— 199M -?4VV1Aq1=, Iwo
Street Address Street Address
15_�7pmomg5 WA, 1170 tIADADS W4,
City State Zip city State Zip
Telephone: 20 (o - 51P, - Qla 1�'/
Email address (optional): CZVJ1CLWL C a-AlU Con,
Critical Areas Check] ist.doc/3.19.2001
Telephone: qA5-- 77Y - F&A-3
Email'Address (optional):
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