01427To be filled in by Planr,'31
r CITT OF E(!IOUOS FCL'f d� �dU _DR T
, ..
5l_111211IStWpPLICA?Illfl' APO S___,,,G•TITLE REPORT„_ ,
'I•IfRE AOIIUS'li l SID : LECALS: 1
,,s,• xis ng roposecr
SUBDfVISIiI1f ..'. lots or loss;
$10 per lot. 'fAP � IIAQI14G PLAN__,___„
�{ ,•',.�`,k $?r,� ,' ,. yv;char";l.
II�DiY•15dOM 5 �tlh or mnrel �'es is 18 per tot, or E11V. ASSESS. �i CK'LIST✓
.00Os per square foot of lot area in
�1 r the;rlst, whicheveum r. is greater. Ili E/A FEF?S.da RF.C'T 1?�3
fee.11s $50. This fee is applicable to (De erm ned by___,__,,,_T+
both preliminary and final plat' submissions.
lIEXgii-i OATt SET: 'Ka= � '6; 1 '' •i�' ,� ��
Jerome.R JqJ#mer 18213 - 80th Ave. W.778-8306
APPLICANT; Han Z. Park= ' ADDRESS: 1831,,._,rr. Olympic VView Dr. PHONE: 774.6g89
indicate type or degree,of.interest in the property: Owners 4
MEN ADDRESS: PHONE:
}Jif otrer t an epp cant I
1, REQUEST TIIAT 714E FOLLOW111G DESCRIBED PROPERTY DE DIVIDED INTO 8. LOTS.
AOCATION OF PROPENl`Vj.st, side of Beverly Park -Edmonds Road northwest of 76th Ave. W. i
LEGAL DESCRIPTION OF ENTIP,E PROPERTY -See attachedan and title report
wI .br coop letot ,planning Departn+ent:
I1..f0n! lEC,11t..DESCRIP110P1 CHECKED 6 APPROVED
•� s kre11. Map Noi r�;r , ` 8V : OATE
St.,,i9rlrltICATION,OIkF-1N�ItlAfltE OF REQUIREMENTS .
• R
IfCa�,ni:„redutli y it• the Planning Commissioli consider the following modifications:
O=foot access' (p,rivote•) right-of-way to Lots 2, 3, 4 t 5. j
+
Modification' 'O a,cial Street Map _
ftp
Veen! reLruesIts ,,that the. Guard of Adjustment hear a variance for the following: i
CERTIFICATION: I do hereby cer•tifv that I. own the ahove lenally described proDr?rty, and
further, that all contiguous property which 1 min, which has not received
a previous subdivision approval, is included herein. -
I furthiiP certify that the attached list•comtains main,%, addresses and x1p I .
codes of all uroh,rty owners within 80 feet of the %uhdivision a% rnctsrded
with the County Assessor.
I understand that street dedicatinns may he requirod in cnnformancd with the
Ufficial Strut i'lan of the City of Edmoilds.
flan �a✓k- !
F'r I)rrr,y Own /
1/76��/
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