01213TJ I
I
CITY OF EDMONDS
APPLICATION
for
PLANNED RESIDENTIAL DEVELOPMENT
? To be filled in by Planning
DATE Z FILE
FEE $ Rec't #,1�
IN -LIEU PARK FEE $
Rec't #
APO 'S ITLE REPORT_
COMPLETE LEGAL DESCRIPT. ✓�
MAP ✓ GRADING PLAN ✓
ENV.ASSES. 1/"CK'LIST�_
E/A FEE Z,!;, d-ORec It
Q ( '1 ADB FILE # s
4.
APPLICANT`
Address//J/ -- .6Z-11- 'i�I_
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s
ARCHITECT/DESIGNER
-3 Address
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Phonetb
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Zip Code�'Q� =�
Phone
Zip Code
Phoneme
Zip Code�Qa�
EXISTING ZONE CLASSIFICATION
PROPOSED ZONE CLASSIFICATION, if a change is being requested
TOTAL AREA OF PROJECT
NUMBER OF D14ELLING UNITS PERMITTED Include metho of computation: r
NUMBER OF DWELLING UNITS PROPOSED 9
*Owner's authorization, by notarized
submitted by an agent. -
(11/78)
s r en t*-
s required for any application'