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01740A. BACKGROUND 1. Name of Proponent Richard J. Blandau.; 2. Address and Phone Number of Proponent 540 Edmonds Way. Edmonds, Wa. 98020; f` " Tel.: 778-0306 3. Date Checklist Submitted April 28, 1983 4. Agency Requiring Checklist Edmonds Planning Department 5. Name of Proposal, if applicable Preliminary plat of "Blandau's: Addition" 6. Nature and Brief Description of Proposal (including but not limited to its size, general design elements, and other factors that will give an. accurate.understanding of its scope and nature: Proposed action involves subdivision of a parcel of land, comprising 2 6 acres, into six lots incorporating an interior road having__a__ length of approximately 400 feet. 7. Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land area affected by any environmental im- pacts, including any other information needed to give an accurate under- standing of the environmental setting of the proposal): �- 1 / th Stpeet The pr Prlyi is l tt-d An tbP___wp_q±__%jde of Edmond Way S.W.. There is a large rambler -type home situated in the northeast corner of the property and the remaining property is presently used for. lawn, gardens and pasture. Adjacent properties are all used for single family residential purposes. 8. Estimated Date for Completion of the Proposal June 1, 1984. 9. List of all Permits, Licenses, or Government Approvals Required for all Proposal (federal, state, and local — including rezones): Approval of preliminary plat; approval and,filing of final plat; permits for construction of 5 new homes. 10. Do you have any plans for future additions, expansions, or further activity related to or connected with this proposal? If yes, explain. No 11. Do you know of any plans by others which may affect the property covered by your proposal? If yes, explain. No 12. Attach any other application form that has been completed regarding the proposal; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: See application for preliminary plat approval submitted herewith. -1- w.