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EXHIBIT 2
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CITY OF EDMONDS
EDMONDS, WASHINGTON
APPLICATION TO HEARING EXAMINER
FOR CONDITIONAL USE PERMIT
File No A -
Date 9 zip - 6�?
Fee 6�0. 65-
APO'S
Rect. No.
HEARING DATE /0 . J-74-5
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APPLICANT ,/ t�� rR / c /-/ ADDRE S S,I,- 3) - /Z - A& PHONE 7 7,T- 6-16- 7
Indicate type or de gTee finterest in the property: CD VV1V,,T1,e,
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OWNE LZ_ADDRESS PHONE
LOCATION OF PROPE�TY(ADDRESS) 7141
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LEGAL DESCRIPTION OF PROPERTY /—Qr ,-7 .-5'-- --VeV — 7 7
To be completed by the Planning Division: Use Zone C� -to,
Legal description checked and approved by: Date:
VICINITY SKETCH: PLEASE SHOW BELOW A VICINITY SKETCH AS PER EXAMPLE,
INDICATING NORTH.
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RELEASEMOLD HARMLESS AGREEMENT
The undersigned applicant, his heirs and assigns, in consideration for the
City processing_the application agrees to release, indemnifv, defend and
hold the City of Edmonds harmless from anv and all damages and/or 'claims for
damages, including reasonable attorneys' fees, arising from any action or
inaction of the City whenever such action or inaction is based in whole or
in part upon false, misleading or incOMDlete information furnished by the
applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY
The undersigned applicant grants his, her or its DerMiSSiOn for public
officials and the staff of the City of Edmonds to enter the subject
property for the purpose of*insDection and posting attendant to this
application. 4 A
bignature 0tJkPD1itant, Uu-ner or
Representati e
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INTER -OFFICE CORRESPONDE114CE
1 M-;.'Ad
ams Ci,ty Engineer
'Fi rsha . .... 1 October 1, 1985
Ga�y McComas -�e Ma Date
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CU,-46-85 REQUEST FOR CONDITIONAL USE PERMIT TO CONVERT GARAGE INTO
GUEST HOUSE AT 531 --12TH AVENUE NO. (RS-12)
HEARING DATE: * OCTOBER'17, 1985
(`ftft� ne Bowman Planning Dept.
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VERBAL ORDERS DON'T GO
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DENCE
E CORRESPON
Jim ams, -,�Cjty`E.ngi.n
c om marshal October 1, 1985
F 1'r'e
.:..Ga Mi C" as,l�,
ry Date-
-.To . . - :-1.. 1, 1 -. .
4 r Mi. I IS
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E INTO
REQUEST FOR CONDITIONAL USE PERMIT TO CONVERT GARAG
-46-85�
CU
-12TH AVENUE NO. -12)
..GUEST HOUSE AT 531 (RS
HEARING DATE: OCTOBER'17, 1985
PLEASE. RESPOND WITH YOUR COMMENTS NO LATER THAN OCTOBER 7, 1985.
THANKS.
By Duane Bowman'- Planning Dept.
VERBAL ORDERS DON'T GO
TOPS FORM 1232 LITHO IN U. S. A.
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Dr. & Mrs. Robert Suchert
12th No.
540
Edmonds, WA 98020
Mr. & Mrs. Ernest Boyd
520 - 12th No.
Edmonds, WA 98020
Mr. & Mrs. R. Koo
561 - 12th No.
Edmonds, WA 98020
Allen Shontz
P.O. Box 339
Homer, AK 99603
Mr. J.J.�Magnus
521 - 12th No.
Edmonds, WA 98020
Omni Group Inc.
10 Harrison St.
#205 Century Bldg.
Seattle, WA 98109
Mr. & Mrs. Chas. Rezha
510 12th No.
Edmonds, WA 98020
Mr. & Mrs. Per Nymark
560 - 12th No.
Edmonds, WA 98020
Mr. & Mrs. Fred Peterson
591 - 12th'No.
Edmonds, WA 98020
Ms. Dorothy Petrich
531 - 12th Ave. No.
Edmonds, WA 98020
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ADJACENT PROPERTY OWNER LIST
PLEASE LIST ALL STREET ADDRESSES OF RESIDENTS OF PROPERTY
WITHIN 80 FEET OF THE PROPERTY LINES OF THE SITE. -...ALSO
LIST NAMES AND -MAILING ADDRESSES OF OWNERS.OF THESE -SAME
PROPERTIES'1'(THIS INFORMATION MAY BE OBTAINED FROM THE
COUNTY ASSESSOR I S OFFICE. IF A BANK IS LISTED AS OWNERp
.PLEASE INCLUDE LOAN NUMBER NEXT TO INDIVIDUAL S NAME.)
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AFFIDAVIT OF POSTER
STATE OF WASHINGTON )
) ss.
COUNTY OF SNOHOMISH )
FILE NO. CU-46--85
APPLICANT Dorothy Petrich
Duane Bowman 'duly sworn, on oath, deposes
being first
and says:
That on the 4th day of October i CJ3 5 the attached
Notice of Public Hearing was posted as prescribed by Ordinance, and in any event,
i'n the Frances Anderson Center and Civic Center, and where applicable on or near
the subject property.
Signed
this day of
Subscribed and sworn to before me
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