01473FILE. NO.
CITY OF EDMONDS
APPLICATION DATE
EDMONDS, WASHINGTON PLANNING.COMMISSION G
REC'T NO. 3
Amok' l:.(Subdivisions Triplicate) FEE 100
(Plats - Duplicate)
1. Deadline: 1st Wed.) PLAT (Apple Deadline: Thursday, 3 wks
SUBDIVISION [�(App before 3rd Wed.)(Fee as set)
(Fee - $10.00) .
S°C S� '±3 n it ii � Y iC
OWNER :.406 e efV v �'��[ >� ADDRESS: /,Wea Ave0" PHONE
REQUEST
M
LEGAL PROPERTY DESCRIPTION:
E Odt/ LE A�iti' _ ASS C4U.v>� 20AD .FiD.�i'O �/�
,aL./f T
Use Zone: LEGAL DESCRIPTION CHECKED APPROVED
Kroll Map No.: _ BY Date
the
CERTIFICATION: I do hereby certify that I own or have an interest inoinin�o
legally described groperty, and further, that all adj g property
p ty
which I own or have an interest in,'which has not received a previous
subdivision approval, is included herein.
t
is
4
{
SKETCH: Show below or attach sketch of pro
posed subdivision per eexistinsepticxample shown on e a
reverse side. On subdivisions, where possible, indicate location of g
tanks and drain fields. Include vicinity sketch of the area per example shown on the
it
reverse side.
s
.On subdivisions,. attach statement of reasons why you propose to divide property
in the
manner shown. Include any pertinent information not a arent on the sketch. {