7730 196TH ST SW (5).pdfr3� �rrh
f
DATE:
CITY OF EDMONDS
HM
APPLICATION FOR CONDITIONAL USE
RECT #: (n Q'
HOME OCCUPATION PERMIT APO'S:
FILE #
HEARING DATE(IF REQUIRED).
APPLICANTS/%j�lG/1',I /�i�J S ADDRESS:%�Q —%lam PHONE: 7/�' / <y`�/ "
Indicate t pe or degree of interest in the property;
OWNER: , ' '/� P 2" ADDRES S:.i%�"—tFc� C�iIC? L� rPHONE:
Use Zone (To be completed by Planning epartment)
Gs
VICINITY SKETCH: PLEASE SHOW BEL014 A VICINITY SKETCH AS PER EXAMPLE, INDICATING NORTH.. .:
5T
Example: �.
W
Q 5
N 'Al
I ICATE TYPE OF BUST ESS AND DETAILS O PROPOSED USAGE ' `''
7
�.11�-rte fly ;�71F�f' �L� �%��d2�t
RELEASE/HOLD HARMLESS AGREEMENTvr
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`;
3
The undersigned applicant grants his, her or its permission for public officials and the
staff of the City of Edmonds to enter the subject property for the purpose of inspection
and posting attendant to this application.
Nuuet",
Signature of Applicant, Owner
or Representative'��
!WX
,}
�4„ ,ice �
•
.. �r 9 �
: � aPJ r tit, ,
jr r
s `a
F�
APPLICATION FOR HOME OCCUPATION QUESTIONNAIRE
fk jn.
Please
anwer all questions.
1.
Explain the type work that will/be conducted at the home.'
s ,SS
2.
What area of the home will be uAsed.
' J
iJ�Ji
3.
Will anyone be employed at the home besides yourself? If yes, please kfl
explain who and wen employed?
.4.
What type of equipment will be used in conjunction with the
home"'
occupation?
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;`
sort of goods?
fir"
7.
Do you understand the conditions which must be met in order
to obtain
and continue to use a home occupation permit?
8.
Can you identify any adverse impacts on your neighborhood which may
result from your operating the home occupation you propose?
Please.'
explain.
i 4`
PRINCIPAL
INTEREST DESCRIPTION
(DENT. NOS.
BONDS 'COUPONS,
CLAIMS
sfi
SALARY
City, of Edmonds
.19-0188
5.854,
Edmonds, Washington
1260'
�' 85
Edmonds,:washington, November8 19 2
18T
PAY
CTS —D0LLA11S$-'iir50.00*
TO THE
ORDER SHAWN MORRIS
or
1408 N.W. Richmond Beach Road, #18
City 'of
L.I.D. NO.
Seattle, Washington 98177
--ONB'Edmonds Branch 'XTFi9ASURtFk
0idN&tIoiuvBank Edmonds, Washington 98020 r -�i
L'2 •S00488 74 ■7 5 2a,110 3011, 50
. . .
. . . . . . . . .
. . .. . . . . . . . . . . . .
DESCRIPTION
5
Conditional usepermit refund.
001.000.000.345.81.00
-n
WARRANTS REDEEMED
BONDS &COUPONS REDEEMED
PRINCIPAL
INTEREST DESCRIPTION
(DENT. NOS.
BONDS 'COUPONS,
CLAIMS
SALARY
L.I.O. NO.
L.I.D. NO.
L.I.D. NO.
-n