7029 212TH ST SW.pdfCITY OF EDMONDS File No
EDMONDS, WASHINGTON Date,0
Fee
APPLICATION TO HEARING EWIINER APO'S-
FOR CONDITIONAL USE PERMIT Rect. No.
HEAR�N� D TE
APPLICANT: ALBERT C. TUTT ADDREss7029 212 St.
S W PHONE(_2 0 6_) 774-3115
Indicate type or degree of interest in the property: Owner
OWNER: ALBERT C. TUTT ADDRESS7029 212 St. SW PHONE(.2_Q_6_J__Z74-3115
LOCATION OF PROPERTY (ADDRESS) 7 0 2 9 2 12 S I . S W Edmonds, WA,
LEGAL DESCRIPTION OF PROPERTY See Attached
To be completed by the Planning Division: Use Zone
Legal description checked and approved by: Date:
VICINITY SKETCH: PLEASE SH014 BELOW A VICINITY SKETCH AS PER EXAMPLE,
INDICATING NORTH.
Example:
1 W1 q- I, I IZ Tr
CONDITIONAL USE REQUESTED:
DETAILS OF PROPOSED USAGE: Remove excess material from the si±&-±D-Jr-i1:Lq
grades into conformance with surrounding orbperties and allow for
Representative
RELEASEMOLD HARMLESS AGREEMENT ALBERT C. TUTT, OWNER
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 anv action or
inaction of the City whenever such action or inaction is based in whole or
in part upon false, misleading or incomvlete 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'insiDection and posting attendant to this
application. -------------
SEFnature'of-WjwTicaTft, M-ner or
RepresentatiV'e-
ALBERT C. TUTT, OWNER