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537 FORSYTH LN
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211y 2F EDMONDS
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LCTION REPORT
SUSPENSE DATE:
Da te: -;)' / /b/ ?3 Tim Z1. .3 File #
f Attach
SUBJECT: jt�-e�
REQUESTOR:
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE r---j
OTHER:
RECEIVED BY.
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=Yes
J =No
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ACTION: Clozloct 7d e- 9w ; 40flc o -f d
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All CoyL!rr>ed Notified
A C;e leted/File
. .. . ... . .....
......................... .....................................
w...........
241 ............................... fdr repab &WIor Coultection of i'side sewer to the
I wftb, city of z4vilonds ordum"W". �oty sawtaxy sewer
TO THE FOLLOWING:
of the property may obtain, a Pern4t,, to, construct sewer inside property line, A licensed Side Sewer C0ntr&0t0r Must be employed.jo, c*astru
in street area. Do not cover 41W portion -of sewer before It has been lnspetted�
wforMed in city zlght-of-wav�requjrss an Invasion of-JU9ht-Qf-W4y POrValt obtainable frdth the City Engineer's office,
information regarding Ordinance 11.16,490 and Regulations governing side sewem When, y6u� get p0mit.
sewer must haveat least 30 inches coverage at property line and 12 'inches inside property iln*;'141"llauhl grade Of 2%. No bonds In gradi,,'-'
n 14 w III be permitted.
street must be water settled and surface of street.rantored to original condition., Contre4o= $ball be responsible 'for failure due to impm
maY develop within one Year of PowP141jon. per.
V to, alter or do any other work than Is provided 'for in the parnUt,
a Into the Wye. or to do any wor)c On tbe� naaft sewer or Its appurtenances except to in-
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V=, ZY"Jute .. ...................... . ........ . ... ............... ......... ........... By .............. Date ................... ............... Y ................
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. ........................ . .. ......... . .. . ............ ......... ------------ ------- -
MWST Be SIgned By Owne� of
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the sqWer ina
>R l'o, Oequest For,'Inspeellu M.
Wation 6onstructodund
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FORM 41 - LITTLE'S
94TER-OFFICE COMMUNATIONS
DATE NOV
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TO:
FROM:
RECEIVED
AUG 3 1 1992
C,ommunity Services Director QOMMUNITY SE . RVICFS
DIRECTOR
John J. LaLanne
537 Forsyth Lane
Edmonds, Washington. 98020
SUBJECT: Petition for variance to install T.V. cable
line above ground at 537 Forsyth Lane.
DATE: August 30, 1992.
Periodically I receive an advertisement from Chambers
Cable stating that I can have basic cable installed free.
However, when the representative arrives he gives an
estimate of from $400.00 to $500.00 for installation.
The reason seems to be an ordinance that requires the line
to be installed'underground.
I believe the situation at Forsyth Lane is rather unique.
on the south side the wiring is all above ground -while on
the north it is mostly underground. The house next door to
mine (545) has an overhead T.V. cable that actually crosses
over my property. (See. �attached sketch).,
We are a retired couple living on a modest income. I
suggest that the Cost of $400.00 to $500.00 for installation
is excessive in light of the benefits derived and outweigh
benefits to be gained by the public.
I respectfully request a variance so that I can have
the cable line installed at a reasonable cost.
Sincerely,
John J. LaLanne
P-5-
Arm
J.J.LaLanne
537 Forsyth Lane
Edmonds, Washington 98020
DIRECTOR.COMMUNITY SERVICES
250 5th Avenue North
Edmonds, Washington 98020
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..CITY OF EDMONDS NOV '�3
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WA� CONSTRUCTION PERMIT
:IyffJffA MMAK AffJ
ff F
0 Co Ctor.
:�7
FAAre Owner.
117�igA7�7 i 7�7:�p B ntAra
wff'hercer street
Mailing Address
seattIe UA 98111
City State Zip
Z
0
U
W.
0
W.
Permit No. go - L4 (3
Issue Date 9 - 11 -9 C)
Name
Mailing Address
City State Zip
State License Number Telephone Number
C. 9 Address or Vicinity of Construction: . 537 Formyth Land
Type of Work to be Done: Inaltall Nag Service 9
D. a Work in Connection With: El Sub or Plat El Singur\a/mily [I City Projects
0- Commerci al 0 Multifamily XX utility
E. 0 Pavement Cut: R] Y El N F. 0 Size of Cut:' 2 NJ 14 4 (2) Gas and H 20
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this a I'
ication, agrees to hold the City of Edmond's
.d or s r , f , rseen or unforseen, that ma
harmless from any injuries, damages, or claims of any kin '9 ictn6.11afF?
be made against the City of Edmonds, or any of its departme or e bloyih;, inpi i g
T vor not. imit�t,to t,4e(defensi,
��ZF / - FR V11Z
attornqfees ��
of any legal proceedings including defense costs, court c an�' "reasofi of granting this permit.
I J i, C -
THE CONTRACTOR IS RESPONSIBLE FOR WORZ�4`SHIP ANb1M_ATER'IAR)1S4R A PERIOD OF ONE--
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Q
1C
Estimated restoration fees will be held until the final street patch is completed by tii-y forces, at which time aldebit or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Engineering: 771-3202
• Work is to be inspected during progress and at comp�letion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature:
Date: August 30, 1990
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: EW
Time Authorized: Void after (-:70 —days.
Special Conditions:
PERMIT FEE: $ _:�o 7D isF_ -P,(LLEZ�
Restoration Fee:
RELEASEDBY: Cy\.0SZ,, - Date -9 111 19i> INSPECTED BY
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Date
Eng. Div. March 1989
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street Dept
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
Date:
Date:
Eng. Div. July 1985
8 9 0 , 1 9 10) -
City of Edmonds
STREET
FILE
,y RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: 67,;2
Issue Date:
A. Address or Vicinity of Construction? _0?/7 AN
"Z 6,q
B. Type of Work (be specific):
5-rle,XX�;'
C. Contractor: &o-I-Arm Oofwe-f C�*,4e.Z_ Contact: 4_,0e—,04-C) (A' - H e--
S
Mailing Address: 5_3 3 .44A—IAJ X Phone:
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if appli.dable):
E. 'TI Commercial [I Subdivision El City Project 14 Utility (PUD, GTE, WNG4:S!�MME)WATER)
Multi-Fan-ffly EJ SingleFamily Fj Other
INSPECTOR: INSPECTOR: (AJHj'Tr_U'T7'
F. Pavement or Concrete Cut El Yes 54No G. Size of Cut: x H. Charge$
APPLICANT TO READ -,SIGN
OD
INDEMNITY. Applicant understands and by his signature to this'application, agrees to hold , e Chy'of Edmonds hatrilessftom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the, City of Edmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, and attorneyfees� �y reason of granting this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP A AD MA TERIALS FOR A PERIOD OF ONE YEA kOLLOWING THE FINAL INSPEC77ON
. I
AND ACCEPTANCE OF THE WORK ES77MATED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL STREETPATCH IS COMPLETED BY
C17Y FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Departmenf,?='
Work is to be inspected during progAss and at completion.
Restoration is to be in acco �dance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. -
All �et c;t ditches shall be patched with asphalt or City approved material prior to,the end of the working day;
0
,�XCE r
N IONS.
'he ab Fatements and ut Cerstand the permit requirements and the Pink copy of the permit will be available
have reft s.
on sitie - tim sfo inspe it purpo
Signature: Date:
��ntractor -0/r Agent)
..DA'M::::�:::: ASSUED BY::
NO WORK SHALL BEGIN
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
�j
INISaLL
go C)9
STREET FILE
CITY OF EDMONDS LAURA M. HALL
250 - 5TH AVE. N. - EDMONDS, WA 98020 * (206) 771-0220 - FAX (206) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning e Parks and Recreation a Engineering
September 28, 1992
Mr. John J. LaLanne
537 Forsythe Lane
Edmonds, WA 98020
Mailed 9/29/92
SUBJECT: PETITION FOR VARIANCE TO INSTALL T.V. CABLE
LINE ABOVE GROUND AT 537 FORSYTH LANE
Dear Mr. LaLanne,
It has been past practice of the Community Services Director of the
City of Edmonds to consider requests for variances when costs for
overhead lines were in excess of approximately $2,000.
Since the Community Development Code for overhead wiring was written in
1987, this may explain why your neighbor has overhead lines. It should
also be noted that if 545 Forsyth Lane rebuilds, undergrounding would
be mandated based on the current code.
It is the City of Edmonds' intent to underground at all reasonable
opportunities to maintain and enhance the aesthetic nature of the
community, and it is in our opinion that the $400 to $500 does not
exceed the benefits derived by going underground.
I wish to point out that it is your legal right to apply for a variance
and that it is appealable all the way to the City Council.
Sincerely,
ROY S. WHITCUTT
Engineering Aide
RSW/sdt Alberts
LALANNE/TXTST530
0 Incorporated August 11, 1890 v
Sister Cities International — Hekinan, Japan
Date: August 199 19.71
Memo to: Ron Whaley
Assistant Public Works Director
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot "All of attached drawing.
(Individual legals description not available at this time and
would not be until building permits are applied for.)
�11
(vacant property on
Forsyth Lane
Commonly known as:
between 5th and 6th
Aves.) Owner:
Mrs. / Mace A. Gay
Z.F.F. Calculation:
65.09)
Z.F.F. x ( $7.50
$ 488.18
Connection Fee
1
Unit x ($ 25.00)
$ 25.00
Trunk Charge
$ 10.00
Permit
$ 523.18
TOTAL
cc - Mrs. Mace Gay
APPLICATION
for
The City of Edmonds SIDE szwza PRUBM
o37,2-o NEW CONSTRUCTION Ello�- REPAIRS 0
-w— ........ ------------------------
ADDRESS .... .. S-2 ....... ......
RECEIVED
Lij MAR, 2 o 1972
.j j
U.
LLJ
LU
W
EDMONDS
TREATMENT PLANT
EASEMENT No . ................. ----- -------
1A —/
CONTRACTOR -------- ................. PERh(IT No.
IXGAL DESCRIPTION: LOT No . .............................................. EMA3M No . ............................................
NA3W OF ADDITION ..... ........ 1p-ee7A X.e.:25 ................................................
Approved:
uom;�5w
DATE ....
............... I .........
r. - . \-� .
Ck.�
)RTLAIVO
I 555:�Um� o
TRADE MARK
. I . C C M E:
Leif ,
-AW - - ..-W%WU �U
Mrs. Gay will be calling back in regards
to the survey that was made on her property.
She lost 5 1/2 feet to-6th Avenue. Interested
in a*mxlx adjusting her assessment on L.I.D. 167.
I told her that this was doubtful but I would
double check with you.
E FILE
T
W
f.J111
1� 7, WJ(
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9
Date: Aligust: 1% 1971
Memo to: Ron Whaley
Assistant Public Works Director
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot "All of attached drawing.
(Individual legals description not available at this time and
would not be until building permits are applied for.)
(vacant property on Forsyth Lane
Commonly known as: between 5th and 6th Aves.) Owner: Mrs. Mace A. Gay
(S.3 7- -9,sy_.
Z.F.F. Calculation:
65.09) Z.F.F. x ( $7.50 $ 488.18 Connection Fee
I unit x ($ 25.00) $ 25.00 Trunk Charge
$ 10.00 Permit
$ 523,18 TOTAL
cc - Mrs. Mace Gay
I
Memo, to: Ron 'Whaley
Assistant Public Works Director
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot "B" on attached drawing.
Date: August 19, 1971
AL
(Individual legals description not available at this time and
would not be until building permits are applied for.)
(vacant property on Forsyth Lane,
Commonly known as: between 5th and 6th Aves. ) Owner: Mrs. Mace A. Gay
z.F.r. Calculation:
65.09 Z.F.F. x ( $7.50 $ 488.18 Connection Fee
1 Unit x ($ 25.00) $ 25.00 Trunk Charge
$ 10.00 Permit
$ 523.18 TOTAL
cc - Mrs. Mace A. Gay
Date; August 19, 1971
Memo to: Ron Whaley
Assistant Public Works Director
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot "C" on drawing attached,
I -(Individual,legals description not available at this time and
would not be until building permits are applied for.)
(vacant property on Forsyth Lane,
Commonly known as: between 5th and 6th Aves,) Owner: Mrs. Mace A. Gay
Z.F.F. Calculation:
88.46 Z.F.F. x ( $7.50 $ 663.45 Connection Fee
1 Unit x ($ 25.00) $ 25.00 Trunk Charge
$ 10.00 Permit
$ 698.45 TOTAL
cc - Mrs. Mace A. Gay
%%A Good Customer is Worthy of Every Consideration"
�J,
WESTERN UT111TIES SUppLy C
0
Waterworks, Industrial & Heating Supplies
P-0. BOX 3524
S 5409 OHIO AVE. SO.
SEATTLE, WASH. 98124 ROckwell 2-7025 EATTLE, WASH. 98134
N3
V,
March 10, 1970
Mr. L.M. Schulstad, Manager
Commercial Department
'rho Jones Uoys Realtors, Inc.
10030 -'drlonds Way
�.dnroxids, Vashin';"to"I 98020
:)ear Mr. �;(-Nulstadi
Reference is made to your latter of Marc:h 3, 1�70 reiative to
the sewerinz of the Mace Gay property.
I , 'De
-z i:i considered' adviGable that I.ots "A" 3n and
sowureO, f:ro-m Forsvth Lane. The estimated connecti,c)n cnarg�e-:, ihat be
rwevquire,� at t--,a ti-ic �iousej are connected to the se-40-111 ar-en, as follous!
A `L488.16 t)lus $3s, tQtal .,�23.18 eaco
,,, s "P, an
Lots "C', $663.45 pluS .4"*35.00
A.1 t h. o u a strvcture on Lot '4;3" could connected to Lie lateral
in3tallu", from t�io north, it is considered advisd�)le that --�ny structure Dot
co: -. n e -- t c i t,-) the ne�-; :�;anitw-i sower constru. cted in Vors�,,rtri i.-)e
mla:jull .:i v;at tiriere would be two or Ciree lots lnvolvez�, in t'-'v 50int.
rmain-teriance and rosponsibility on the lateral from the north; wbereas
connectIoll from Forssyth Lane for Lot "B" would provide a separate lateral.
Youra very truly,
cITY OF EDMONDS
Lar R. LARSON
City Engineer
cc "Mrs. Mace Gay
CM or EMMIX 1P4MM CONUMM 4"Usic:
EDMDS,, UMHD[Gft �-.. i V
jok'numeft Law
UM't M TrIpilafte)
a
SLJBDIVISIOM (4 late or, lass; fee in $10#00.). -
PLAT (5 lots or more; fee is $5.00 per lot, or 1/20 of
ono'cent per square foot of lot area in *6 1plat.
whichever is greater. This -fee is applicable to
both preliminary and final plat subm"sions.) '
Iearlm
APPLICANT: Kage A. Gay ADDRESS:- 542 Pins St. Pow,: IPA a -
Indicate type or degree of interest in the property: Owner
OWNER: Same ADDRESS: PH=:
REQUEST THAT.THE FOLLOWING DESCRIBED PROPERTY BE DIVIDED INTO 4 LOTS. UWicate numbs*)
LEGAL DESCRIPTION Or ENTIRE PROPERTY: BAAP 514,5 Ft. and E. and 60 rt. 6
MW 1/4 TH S 300 ft. Th West 123 ft, Thence N 300 1%. thence r 123 Ft. N
MTH the following descr. BAN 514.5 ft. E and 240 of I
0
MW cor OV
�. �r — 49MWJM� W �a_ a %.* M 46.&�*W. & Ue fm &AW JL %'0 UMIMAW%aw MM4M%1 %.W &WWI
All located In Sec 25.' 727M. 13E. W.N.
LEGAL DESCRIPTY�, CHECKED & APPROVED
Is '6 jr
3y'4."Lj Dat 4,gjr
CERTIFICATION: I do hereby certify that I own the above legally described property a"
further, that all contiguous pr*perty which I own, which has not
a previous subdivision approval, is included herein.
Property Ownene,`C_
SKETCH: Show below or attach a sketch of the proposed subdivision drawn to a scale
similar to the example shown on the reverse side. On subdivisions, wbere possible,
indicate location of existing septic tanks and dr%ain fields. Include vicinity sketch
of the ar*a per example shown an the reverse side. If sketches are attached, plea"
submit six copies. On,subdivisions, attach a statement of reasons why property is
divided in the manner shown, such as topography$ or any other pertinent information
ot appMnt on the sketch.
NOTE: This subdivision takes into acco%mt the 251 additional r/w indicatIed
on the Official.Streat Nap for Forsythe Lane.
ADJAM 4:ZrDFA-r
To be Completed by the P1
Use ZONE:.
Kroll Map No.: j o V W
a
4
CM or EMMOS CaN1111M. 4111WOM' .430. zffildi�.
EDMUDS, WAS=Gft WNW
I aim'
SUBDIVISION (4 lots or 1"s; too is $10#00)
PLAT (5 lots or more; fee is $5.00 per lot. or
one cant per square foot of lot arsa� in *6 �lat.
whichever is greater. This fee i41--Mpp#cAh' to
both preliminary and final plat siftlesioni.)
APPLICANT:— Kaos A. Gay ADD111ESS.- 542 Pine St. Fq=.:- pit
Indicate type or dogma of interest in the property: Owwr
OWNER: Sam ADDRESS:
REQUEST THAT THE FOLLOWING DESCRIBED PROPERTY BE DIVIDED INTO 4 LMS. (IOdicats UVMbW) - .'
LEGAL DESCRIPTION OF ENTIRE PROPERTY: BAIP 5114,5 Ft.. wad E. and 60 Ft. 6 fSM MW ow M
XV 1/4 TH *S 300 ft. Th West 123 Ft. YEe—noo N 3M 1%. thence E' 1 3 Ft. to MMe
VM th; Followins dozer. propertyt BAAF 514.5 ft, E and 245 Ft. 9 of IV W
MV 1144 TrwnCe b 1XV UX. UMUGM & 144*4 XM* V-UW%M-P A&V KF60 %."V"WM �W% &010 %.%P MWW1
n.&& A.%J%AM%WU &U �- &�' OMI-P -- 1 -1-1
To be CompletV y the Planning Departwont
Use ZONE: es- LEGAL DESCRIPTIM CHECKED 4 APPROVED
Km-11 Map No.: j o j W By Dat
0 A Az
CERTIFICATION: I do hereby certify that I own the above legally described propertyp and
contiguous property which I own, which has not recOLV4
further, that -all
a previous subdivision approval, is included herein.
Property Owne-wr
SKETCH, Show below or attach a sketch of the proposed subdivision drawn to a scale
oe ib
si;llar to the exaWle shown on the reverse side. On subdivisiom, %,here p a 10,
indicate location of existing septic tanks and drain fields. Include vicinity sketch
of the ar*a per example shown an the reverse side. If sketch** are attached, plea"
submit six copies. On subdivision$, attach a statownt of reasons why property is
divided in the manner shown, &u& as topographyl or any other pertinent information
not apparent on the sketch.
NOTE: This subdivision takes into account the 251 additional r/w indicated
on the Official Street Kap, for Forsythe Lane.
set
-sit
0
'ROVEDI
APP I V// I - —
As Submitted ijo Condition&
AUG 2
D,-t t o
rANG COMMI�SSI
4j ED DS PLAr
D
40
I ISO
6�b/
'A
4T,
3161
aL
I
SUBDIVISION 0 lots or 100@; :200 Lo 010"@9) 9*
PL44T (5 loto or mora; foo Lo 05.00 poz- lot, w 1/20 og
17�
one cant poir aquara foot of lot ome 1@ 4x) V)lm,)
whichavar ic greatQr. Thlo fQo La e7pliwblo to
both pralitainary and f inU plat oubakoicao o
APPLICANT:— 9QQ2 A. ADDRESS:— 5p2 PL&o Sto T=s )PR D--'- .3
Indicate type or degree of interaot in the proporty: Omor
OWNER: Sam ADDRESS:
REQUEST THAT THE FOLLOWING DESCRIBED PROPERTYBE DIVIDED INTO 4 LOTS. (Wicato nvz2toO
LEGAL DESCRIPTION OF FXTIRE PROPERTY: BW 514.5 Ft. mcl E. and 60 Ft. S fog::3 M.-cw OU YC3
0
MU 1/4 TH S 300 ft. Th Uoat 123 Ft. I ;;!!!!:11,J M o thGneo 0 0) -0
o be compietea by xne rizming u3porrmnx
Use ZONE: es. 6 LEM DESCRIPTI CHE=D 6 APPROVED
Kroll Map No.: joV �d D@to M/uz
CERTIFICATION: I do horaby owtify that I o�2n the abovo lGaally doocribod proportyo ORDA
fur-thw, that all contiguous proporty uhich I oun, which he@ noft mcoivoig
a previous*Gubdivioica @pprovel, is includQd hGmin.
Proporty �0
SKETCH: Show below or attach'e ehatch of tho pro�Gd oubdivision drom to a occlo
similar to the example oheim on tho mvGroo Gido. On oubdiviOiOnO, tA=,o qaosiblQ.9
indicate location of exioting eoptic Tmke md drain fioldz. Includo vielaity DUGT68
of the area per exampla shown on the rQvGroc oidn. If sketches wta ottachod, plowa
submit six copieg. On subdivielow, attach a otatcae@nt of masom why pra3oorty ic
divided in the manner shown, oucN co -�apa"V, co c�y other pertinont ingomeation
not LapRarent on the sketch.
NOTE: This oubdiviolam tahoo into accomt the 25' additional nlu indicatod
on tho offieftl etv�ooz Nap 2w Famytho Lmo.
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CM or ENMDGA-, PUNDW MMSOMM.1NICAM
EDWNDSI, VASHE J� I - . . M�
Rum
StMDIVISION (4 lots or less; fee La
PLAT (5 lots or more; fee is $5.00 per lot, or 1/20 of
one cent per square foot of lot area LD ftb-plst,
whichever is greater. This fee is applLdablo to
both preliminary and final plat submissions.
APPLICANT: Kapp A. -Gay ADDRESS: 542 Pine St. POM: IPA I -
Indicate type or degree of interest in the property: Owner. -
OWNER: Sam
ADDRESS: PH= 2
REQUEST THAT THE FOLLOWING MSCRIBED PROPERTY BE DIVIDED IN
4 LOTS.'Undicate number)
LEGAL DESCRIPTION or ENTIRE PROPERTY: BAAP 514.5 Ft. UFA E. and 60 Ft. S fSM MW car. 8W
MW 1/4 TH S 300 ft. Th West'123 Ft. Trance X $33 Ft. the—n-c—*TM3 rt, to POD. :7 a
WM the followIng Is—scr. propeFq: 514,5 ft* E and 240 IT, 5-of NW W 9W 174
-hence t - to
MW 1/4 Thence S 120 Ft. thence E 115.5 ft, thence M 120 Ft. t Wes 115 5 F1 Ra
All lgUfed In Sac 25." T27M, JUE-.Irl.
To be Completed by the Planning Department
Use ZONE: e-5-4, LEGAL DESCRIPTY� CHECKED& APPROVED
Kroll. Map No. : I o V W By Date A LE;,dA'
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CERTIFICATION: I do hereby certify that I own the above legally described property, mA
further, that all contiguous property which I own, which has not received. -
a previous subdivision approval, is included herein.
Property OwninA-
!5
SKETCH: Show below or attach a sketch of the proposed subdivision drawn to a scale
similar to the example shown on the reverse side. On subdivisions, wbere possible.
indicate location of existing soptic tanks and drain fields. Includo*viciuity sketch -
of the area per example shown cc the reverse side. If sketches are attacbed, ploa"
submit six copies. On subdivLaLons. attach a statement of reasons why prWerty is
divided in the manner shown, sugh as vapopwPhys ov any,other pertinent information.
not MRarent on the sketch.
NOTE: This subdivision takes into account the 251 additional r/w indicated,
on the Official Street Map for Forsythe Lane.
AM& S rp FET
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OVEDI
A P P'
Wx /
ig Conditional "Y
As Submitted
Date AUG 21
hNIANG COMMiSS1014 00
ED�MDS PLAr
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T jar.