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01180CITY OF EDIIONDS SUBDIVISION APPLICATION LOT -LINE ADJUSTMENT $10 SHORT SUBDIVISION - 4 lots or less; 1 $10 per lot. X SUBDIVISION - 5 lots or more; fee is $8 per lot, or .0005 per square foot of lot area in the Plat, whichever is greater. Minimum fee is $SO. This fee is applicable to both preliminary and final plat submissions. HEARING DATE SET: To be filled in by Planning DATEFILE / — -78 FEES 0, " REC'T 0 APO'S ✓TITLE REPORT LEGALS: xiisstTng-Propose MAP !/ GRAOING•PLAN✓ ENV. ASSESS. yz�=!CK'LIST---- E/A FEE;-6'•a REC'T N 1013 (De_terW_ne_J by APPLICANT:_ggbert B'rakgrADDRESS: g 122 Main St -, Edmonds PHONE: 342—Inn Indicate type or degree -of interest in the property: Owner OWNER: same ADDRESS: PHONE: of er. than app !cant), 1. REQUEST THAT THE FOLLOWING DESCRIBED PROPERTY -BE DIVIDED INTO 10 LOTS. LOCATION OF PROPERTY: _Lot 8._ Block 5. Alderwood Manor No 9 LEGAL DESCRIPTION OF ENTIRE PROPERTY Lot 8. Block 5. Alderwood Manor No. 9. KEPT the north 501 00 feet_Xr,ereof To be completed by the Planning Department: Use Zone LEGAL DESCRIPTION CHECKED b APPROVED Kroll.Map No. BY: DATE: 2. MODIFICATION OR VARIANCE OF REQUIREMENTS Apltlicant recLiests that the Planning Commission consider the following nK►dificatiOils: None ApQlicant re�cuests that the Board of Adjustment hear a variance for the following: None CERTIFICATION: I do hereby certify that I own the above legally described pronerty, 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 namP,, addresses and zip codes of all propo rt.y owners within BO feet of tha subdivision as rer.orI, with the County Assessor. I understand that street dedications may be required in conformance with the Official Street Flan of the City of Edmonds. eI ■