626 12TH AVE N.pdfIf w
I
il
66
'y' ,1,
CITY OF EDMONDS
APPLICATION FOR CONDITIONAL USE
HOME OCCUPATION PE1U1IT
t
: I
f N -Z-7
DATE:
FEE:
RECT #:
APO'S:
FILE #:
HEARING DATE(IF REQUIRED):
DAYTIME
APPLICANT: lem, "PIA/ ADDRESS: /!V-171 A/C). PHONE:
Indicate type or degree of interest in the property; aa-1112��
OWNER: ADDRESS: PHONE:
Use Zone (To be completed by Planning Department)
VICINITY SKETCH: PLEASE SHOW BELOW A VICINI Y SKETCH AS PER EXAMP4?�INDICATING NORTH.
Example: ST (I �V
W j�
ST
LOCATZM OF 14,
INDICATE TYPE OF BUSINESS AND DETAILS OF PROPOSED USAGE:
RELEASE/HOLD HARMLESS AGRMENT
The undersigned applicant, his heirs and assigns, in consideration for the City
processing the application agrees to release, indemnify, defend and hold the City of Edmonds
harmless from any 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 incomplete information furnished by
the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY
The undersigned applicant grants his, her or its permission for public officials and the
staff of the City of Edmonds to enter tb�e subject property for the purpose of inspection
and posting attendant to this application.
18ignature of Ap�plicant, Owner
or Representative
1 .1
APPLICATION FOR 11014E OCCUPATION QUESTIONNAIRE
Please anwer all questions.
1. Explain the type work that will be conducted a.t the home.
2. What area of the home will be used?
ZA
3. Will anyone be employed at the home besides yourself? If yes, please
explain who and when employed?
4. What type of equipment will be used in conjunction with the home
5. Will there be any visits to the home by clients, employees, delivery
service, etc? If so, how many, when, etc?
6. Will you be selling or renting any goods on the premises? If so, what
t Of goods?
/ Z"o
7. Do you understand the conditions which must be met in order to obtain
and continue to use a home occupation permit?
�hs
8. Can you identify any adverse impacts on your neighb orhood which may
result from your operating the home occupation you propose? Please
explain.
V-':�;� - I
d, I
T
I I d Td
'IT
A .
I J,
-r t,
Tiq K
6I.I.Jot0i Amu -also I
fv,)
1, .2
F
Mg. !4tZA-LV&j &,0&
isq.
A
116
MPO W1 4 I�L 0 IAM� ka t)pu eq�F
0<0 J�
7j
. 0�
a0 1 ;-;/Tz
a4m46 Iq 0
.-O'n � JO
0 /;z T) 9D~405
1 1 !14
AT
0
a
ADJACENT PROPERTY OWNERS LIST
n my oath, I certify that the names and addresses provided represent
11 properties loated within 80 feet of the subject property.
Z
s '0
presentative
ASignature o Applicant'or Appi cant's Re
n
tl
ubscribed and sworn to before me this /I 'day of 4�0 19 IF17 .
Vo-tary Public in ind for the State of Washington
Residing at
mv�
Mr. & Mrs. Anunson/Resident
Mr. Gerald Rude/Resident
614 12th
N.
718 12th N.
Edmonds,
WA 98020
Edmonds, WA 98020
Resident
William Wright
719 12th
N.
19520 94th Pl. W.
Edmonds,
WA 98020
Edmonds, WA 98020
Gilbert
Hilgers/Resident
Richard Mietzner/Resident
615 12th
N.
20210 92nd Ave. W.
Edmonds,
WA 98020
Edmonds, WA 98020
7 ...... ....... ---- -----
CITY OF EOMONDS
LARRY S. NAUGHTEN
250 51h AVE. N. EDMONDS, WASHINGTON 98020 (206) 771-3202
MAYOR
COMMUNITY SERVICES
PETER E. HAHN
DIRECTOR
DATE: 9/24/87
TO: Dwayne and Sharon Wadlow
626 12th Ave. N.
Edmonds, WA 98020'
TRANSMITTING Staff Findings
AS YOU REQUESTED:
FOR YOUR INFORMATION. xxx
AS WE DISCUSSED:
FOR APPROVAL:
FOR YOUR FILE:
REVIEW AND COMMENT
COMMENT AND RETURN:
MINUTES OF MEETING:
REMARKS:
PLANNING
DIVISION
Leigh Francis
PUBLIC WORKS PLANNING PARKS AND RECREATION
THE PLANNING DEPARTMENT OF THE CITY OF EDMONDS HAS MADE THE FOLLOWING
DETERMINATION:
Ar1nZ0144-.0F.A ROM F
LL-SC-1 t 4*.* A- C**C* -' r*-*-*9*wCft IFS.t�l f4WQPwf..
TV wp AK
.%IE� UD.E>Ar
SMZ�SIONS M
e TV.%E�. A
PROPERTY ADDRESS OR DESCRIPTION: M.Aw WSWU �WIM�Tst> yew)
.
F I L E #41P. 40*.S�%P' �K7 POSTED.0(1��4-(-9:7
ANY PERSON WISHING TO APPEAL THIS DECISION MUST DO SO IN WRITING, CITING
*wjrj&41'A7 WO RKING
REASONS, TO THE PLANNING DEPARTMENT BY IN 47 1 (10 DAYS
FROM POSTING DATE) I
ADDITIONAL INFORMATION IS AVAILABLE FROM THE PLANNING DEPARTMENT AT 250
FIFTH AVENUE NORTH. 67>756�-ZN-�� 771 -3202 EXTENSION 252
TER t
THIS POSTER MAY BE REMOVED AF ... IL
.%5 .. w ..... P.M.. . ........... L 12:77....
A Emra, Ek N RL M AvIllk The removal, mutilation, destruction, or
concealment of this notice prior to the
date above is a misdemeanor punishable by
K N 0 fine and imprisonment.
CITY OF EDMONDS
STAFF FINDINGS
HOME OCCUPATION
FILE NUMBER: CU-58-87 APPLICANT: Dwayne and Sharon Wadlow
ADDRESS: 626 12th Ave. N.
TYPE 0 F HOME OCCUPATION REQUESTED: Office for eelskin product business
REVIEW ED BY: Leigh Francis POSTED: 9/24/87
AREA USED: Storage room and office inside the home
EMPLOYMENT: Applicants only
EQUIPMENT USED: Computer for records, phone
TRAFFIC: One UPS delivery approximately every 10 days; no visits by
clients; no employees
NO SALE OR RENTAL OF COMMODITIES: None directly from home. Business
will involve parties at clients' homes
NOISE� DUST, ODOR, SMOKE: None
SIGN:!None
ADDITIONAL APPLICANT COMMENTS: Retailing eelskin accessories at home
shows�. Use of my home only for storage of products and making
appoi ntments.
HOME I OCCUPATION APPROVED: Preliminary approval
WITH THE FOLLOWING CONDITIONS: 1) No signs; 2) Deliveries limited to
once �every 10 days; 3) Subject property to be kept in a well maintained
conOtion; 4) No client visits and 5) No direct sales of goods from
.i
home'
HOME�OCCUPATION DENIED:
FOR THE FOLLOWING REASONS:
7
CONCURRENCE: 7/y
DECISION FINAL ON: 10/8/87 5:00 PM
rV
FILE NO. CU-58-87
APPLICANT Dwayne & Sharon Wadlow
AFFIDAVIT OF POSTER
being first duly sworn, on oath, deposes
and says:
That on the 24th day of September 19 87 the attached
Notice of Decision was posted as prescribed by Ordinance, and in any event,
in the Frances Anderson Center and Civic Center, and where applicable on or
near the subject property.
S
i g n e d
Subscribed and sworn to before me this day of
19 0'17
Notary Publ i c in and for the State. Of
Washington.
Residing at
MY COMMISSION EXPIRES 6-1649-,,
FILE NO. CU-58-87
APPLICANT ow
AFFIDAVIT OF MAILING
Diane M. Cunningham being first duly sworn, on oath,.deposes
and says:
That on the 24.th day of September 19 87 the attached
Notice of Decision was mailed as required to adjacent property owners, the
I names of which were provided by the applicant.
Signed
Subscribed and sworn to before me this -,2? �69 day of
i 9-f� .
Notary Publ i c in and for the' -State ot,
Washington.
Residing at
MY COMMISSION EXPIRES 6-1VA,,,
a.,
,I
.4CATION
B,.jSINESS LICENSE APP"..
dlvll�c' center - Edmonds, Washington 98020
City Clark Phone 775-2525
I �
INSTRUCTIONS:
All items must be completed.
Sign and return application
with fee.
i- Renewals received after
February 15 must pay
penalty in addition to fee.
NEW BUSINESSES applying
after July 31, pay 1/2 fee.
TYPE OF BUSINESS
ANNUALFEE
PENALTY FOR
IIENEWAL
AF1 ER FEB 15
(A)
HOME OCCUPAI ION
$15M
$ 22*50
(B)
BUSINESS WITH 1 - 3
EMPLOYEES
$20*00
$ 30400
(B)
APARIMENI 110LISU
WIT H 1 .3 EMPLOYEES
$20#00
$ 30*00
(C)
BUSINESS WITH 4 - 9
EMPLOYEES
$22M
$ 33400
(D)
BUSINESS WITH 10
OR MORE EMPLOYEES
$75M
$112,50
q
DATE
LICENSE
NUMBER
CpS
YEAR
g 7
LICENSE EIF. DATE
DATE PAI
RECEIPT NUMBER
F �EEPAI D
IV-?. 5'�Z)
ALT
�:E
t
6
,
NEW APPLICATION
RENEWAL
CHANGE
DELETE
ISSUE CORRECTED LICENSE
(LA)
(1-13)
(I-C)
(LD)
(LI)
LICENSE APPLICATION AND CHANGES TO LICENSE RENEWAL
BUSINESS PHONE 9 NUMBEROF WA STATE TAX 10 0
EMPLOYEES
ME OF I. IIIM
SUITE NO. NATURE OF Bu�
)SINESS ADD13ESS
AE STREETI I L?l IWF (06 RZ4
L CITY
STATE 7jP
AILING ADDRESS STREET OR P
5:AM-6XOS.
,4UMDER
45 1;��6...
)WNERSHIP
(S) SOLE PROPRIETORSHIP rinsi
HOME ADDRESS STREET 1ffj&W—/Q
APT NO. CITY
�:-A wo /j
STATE ZIP
BLDG L
SOCIAL SECt R N MBER
HOMEPHONEY DATE OF BIRTH
CITY Or BIRTH
STATE
�76
(P) PARTNERSHIP
M.I.
FiRsr
LAST NAME
P
A
R
APT NO. CITY
STATE ZIP
T HOME ADDRESS STREET
11 1
BLDG a
NL
E
---------- j
STATE
SOCIAL SECURITY NUMBER
R HOME PHONE DATE OF BIRTH
CITY OF BIRTH
1) (1 )
ML
LAST NAME FIRST
1)
APT. NO. CITY
STATE ZIP
A HOME ADDRESS SIREET
IL J
11 BLDG 0
T I
1[
STATE
---------------
SOCIAL SECURITY NUMBER
N HOME PHONE 4 DATE Or BIRTH
cnY or BiRTH
(2)
(c) CORPORATION
PHONE NUMBER
NAME 01: CORPORATION
CORPORATE MAILING ADDRESS
TITLE
CORPORATE OFFICERS
. I
i FEDERAL TAX I D. NUMBER
0
F
F
E
R
S
PHONE NUMBER
E- ERGENCY NOTIFICATION
FOR PREMISE ACCESS
IN EMERGENCY (2)-
I IrFNI;F- RENEWAL - REVIEW INFORMATION BELOW, PRINT CHANGES IN APPLICATION SECTION ABOVE
BUSINESS P14ONE
NUMBER OF EMPLOYEES
NAME OF FIRM
NATURE OF BUSINESS
BUSINESS ADDRESS
MAILING ADDRESS 'S NAME
(S) OWNER
DATE Or BIRTH
CITY OF BIRTH
HOME ADDRESS
(P) PAVITNER I NAME
DATE OF BIRT14
CITY OF BIRTH
L RESS
H HOME AD[)
DATE OF BIRTH
CITY OF BIRTH
S PARTNER 2 NAME
I I WMI: ADDI ILSS
PHONE NUMBER
P [] (C) CORPORATION NAME
CORPORAI E MAILING ADDRESS
CORPORATE OFFICERS
PHONE
(2)
EMERGENCY NOTIFICATION (1)
PI IQIKIt=qC-' Irf
WA STATE TAX I.D. 0
STATE SOCIAL S. NO.
HOME PHO14E
STATE SOCIAL S. NO.
HOME Pi IONE
STATE SOCIAL S. NO.
I IOME PHONE
FEDERAL TAX 10. NO,
PHONE
I t-, — r�--y