01758EXHIBIT 2
To be filled in
CITY OF EDMONDS by Pi i�ng DivWon:
DATE ILE#
SUBDIVISION APPLICATION
FEE CT# —LA
APO'S RPT
,/�E
LEGAL,
Existing Proposed
Ai:
GRADING PLAN
MAP
?
EA ENV-CKLST
ST FEE YC=_
ENV.CKL _
0,
/ a 3
HEARING DATE: RECT #
FEE: 1)Prelimi-nary: $110 + $20 per lot
2)Final Plat Check: Same amount as IN -LIEU PARK FEE__�_
preliminary RECT #
ENVIRONMENTAL CHECKLIST FEE: $40.00
5
Richard J. Blandau ADDRESS: EdMondSu Wa PHONE: .778-0306
APPLICANT: .....
Indicate type or degree of interest in the property: Owner
ADDRESS: PHONE:
0 MR:
(it other than aPFJscantZ
1 REQUEST THAT THE FOLLOWING DES I CRIBED -PROPERTY BE DIVIDED INTO 6 LOTS.,
LOCATION OF PROPERTY: 540 Edmonds Way
0
A
LEGAL DESCRIPTION OF.ENTIRE PROPERTY: See -attac d desc
To be completed by Planning Division:
ZONE: 2. MODIFICATION TO REQUIREMENTS OF DEVELOPMENT CODE.
Hearing Examiner consider th e following
r re 3uests that the H
:):)licant re( lopment Code.
A%_ the Development
to�j
mo 2.r s he'requirements of
at on�
scat
None requested.
RELEASE/HOLD MA12MI. ESS AGREEMENT
licant, his heirs and assigns, in consideration for the,CitY processing
The undersigned .app City of Edmonds harmless
hold the Ci
the application agrees to release, indemnify,defend a ' nd
and all damages and/or claims for damages, including reasonable attorneys' fees,
from inaction is based
a or
any ion of the City whenever such action
arising from any action or inact furnished by the applicant,
incomplete information f
in whole or in part upon false. misleading or
his agent or employees.
PERMISSION To ENTER SUBJECT PROPERTY
The undersigned applicant grants his, her or its pern for public officials slid
forte e " 00
bjiirct po p
the City of Edmonds to enter the su on
the staff of
inspection and posting attendant to this application.
*Ownerls authorization, by notarized
signature, is required for any application ignature of F arty Owner or Agent
i
submitted by an agent.