01583x'ILE NOo V -.2
CITY OF EDMONDS
EDMONDS, WASHINGTNIN PLANNING COMMISSION APPLICATION DATE I-.1
Subdivisions - Triplicate T REC'NO. Z
( Plats - Duplicate) FEE �• +� D .._.
SUBDIVISION(Appl. Deadline: -I-st Wed.) PLAT (Appl. Deadline: Th wea'Is
(Fee - $10.00) .) (Fee as set)
APPLICANT: MARTIN LINDELL ADDRESS: 1125 OLYMPIC AVE. PHONE: P� R�8_
Off: is ADDRESS: EDMONDS PHONE:
REQUEST: SUBDIVIDE PROPERTY AS SHOWN ON DWG. 3195
LEGAL ?PROPERTY .DESCRIPTION: -
SEE DRAWING 310
Use'Zone: LEGAL DESCRIPTION CHECKED & APPROVED
Kroll Map NO.: By - Date
CERTIFICATION: I do hereby certify that I own the above legally described property, and
further, that all contiguous property which I own, which has not received
a previous subdivision approv s included herein.
.. .� ,/.
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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 tanks
and drain fields. Include vicinity sketch of the area per example shown on the reverse
side.
On subdivisions, attach statement of reasons why you propose to divide property in the
j manner shown. Include any pertinent information not apparent on the sketch.
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