01627Em
CITY OF EDMONDS
EDMONDS, WASHINGTON
12
PLANNING COMMISSION APPLICATION
FOR SUBDIVISIONS & PLATS
Submit in tr plicate
SUBDIVISION (4 lots or less; fee is $10.00)
PLAT (5 lots or more; fee is $5.00 per lot, or 1/20 of
one cent per square foot of lot area in the plat,
whichever is greater. This fee is applicable to
both preliminary and final plat submissions.)
A * * * * * * * e * * * to A e eAr
File No.� .5 -
Date
Fee-
Rec t o.
Hearing Date Zlc-c- /C 6r
APPLICANT: `►v��/�U/� ADDRESS :� $-. 5�96 B PHONE+�,.,,
c eft, Wash
Indicate type or degree of interest in the property:
OWNER: ADDRESS: fC Oer PHONE:
�jPi1e , G✓as
REQUEST THAT THE FOLLOWING DESCRIBED PROPERTY BE DIVIDED INTO 6 LOTS. (Indicate number)
! ^ • / i
LEGAL
OF EtTaIF.F PRC.--. TY
Use ZONE:. LEGAL DESCRIPTION CHECKED & APPROVED
Kroll Nap Noe: � By Date
CERTIFICATION: I do hereby certify that I own the above legally described property, and
further, that all contiguous property which I own, which has not received
a previous subdivision approval$is inc2rd he f n.
Property Owner
SKETCH: Show below or attach a sketch of the proposed subdivision drawn to a scale
similar ar to the example shown on the reverse side. On subdivisions, where possible,
indicate location of existing septic tanks and drain fields. Include vicinity
ketch
of the area per example'shown on the reverse side. If sketches are attached, please
submit six copies. On subdivisions, attach a statement of reasons why property is
divided in the manner shown, such as topography, or any other pertinent information
not a anent on the sketch.