00032�l
CITY OF EDMONDS
PLANNING DEPARTMENT APPLICATION FOR
SHORT SUBDIVISIONS & SUBDIVISIONS
/=Lot -Line Adjustment - $10
dSHORT SUBDIVISION - 4 lots or less; fee is $10 per lot.
[,SUBDIVISION - 5 lots or more; fee is $5 per lot, or 1/20
of one cent per square foot of lot area in
the Plat, whichever is greater. Minimum fee
is $50. This fee is applicable to both
.preliminary and final plat submissions.
FILE NO.. 7
DATED
FEE: ef5 _
REC'T NO: W6
HEARING DATE: -%
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APPLICANT: z 3Go� IILcu: S9 PHONE 778 0f63
Indicate type or.degree of interest in the property:
If owner other than applicant, give name and address:
OWNER: ADDRESS: PHONE
1. REQUEST THAT THE FOLLOWING DESCRIBED PROPERTY BE DIVIDED INTO • LOTS..
LOCATION OF PROPERTY:
LEGAL DESCRIPTION OF ENTIRE PROPERTY _�I . L-1-5 `71 7 2 , 81
To be completed by. the Planning Department:
}� Use ZoneLEGAL DESCRIPTIO! CHECKED & APPROVED
I` Kroll Piap No. BY: DATE:
2. MODIFICATION OR VARIANCE OF REQUIREMENTS
lApplicant requests that the Planning Commission consider the following modifications:
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Applicant requests that the Board of Adjustment hear a variance for the following:
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CERTIFICATION: I do hereby certify that I own the above legally described property, and
further, that all contiguous property which I ,own, which has not/received
a previous subdivision approval, is included herein.
I further certify that the attached list contains names, addresses and zip
codes of all property owners within 80 feet of the subdivision as recorded
with the County Assessor.
I understand that street dedicati ns may be required in conformance with the
Official Street Plan of the"City o Edmonds.
Lwt (,i
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Property Omer
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