01435CITY OF EDMONDS
EDMONDS, WASHINGTON PLANNING COMMISSION. APPLICATION;
a (Subdivisions - Triplicate )
(Plats - Duplicate)
FILE
DATE a -,.20% 6�
REC'T NO. 4w70
FEE 6 s"' o u
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e line: 1st Wed.) PLAT (Ap
SUBDIVISION = (Appl. Dad pl. Deadline: Thursday, 3 wks
(Fee - $10.00) before 3rd Wed.)(Fee as set)
Rauh m A080oa" PHONE: 1
i OWNER: ADDRESS: 20(D a �'� W---
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i REQUEST:
LEGAL PROPERTY DESCRIPTION:
i
i LEGAL DESCRIPTION CHECKED E APPROVED '
Use Zone :
Kroll Map No.: I (� Q 4--] Su) BY Date
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j CERTIFICATION: I do hereby certify that I own or have an interest in the above '
j legally described property, and further, that all adjoining property ,
! which I own or have an interest iri 'ch
' has not received a previous t
subdivision approval, is inc herer
SKETCH: Show below or attach sketch of proposed subdivision per example shown. on the
reverse side. On subdivisions, where possible, indicate location of existing septic r
{ tanks and drain fields. Include vicinity sketch of the area per example shown on the
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reverse side.
On subdivisions, attach statement of reasons why you propose to divide property in the I
manner shown. Include any ertinent information not a parent on the sketch. ;1
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