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CITY OF EDMONDS
BOARD OF ADJUSTMENT
APPLICATION FOR VARIANCE
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HEARING
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APPLICANT ✓aZca/Z ADDRESS l ]'A ( �`�L✓
CITY & ZIPAZ4lest-e-2ec,/ /1mr1yo1C PHONE J ;rz
INDICATE TYPE OR DEGREE OF INTEREST IN PROPERTY O CUIVt le
LOCATION OR ADDRESS OF PROPERTY /01,-5" iQ 0ogG/,r.
LEGAL DESCRIPTION OF PROPERTY /
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VARIANCE REQUESTED a rye a /S
�? ,G m �/� ✓ S 3 �� s t7.e.r� �o %� o eC- Amu �/ /A/STea C0( oz'z
'�erep. ed i ge e i ✓ L:l�� Coale
64 "�OR OFFICE USE ONLY
USE ZONE: n5 -60
ZONING ORDINANCE REQUIREMENT: 4 f a dn
STATE OF WASHINGTON) ss.
COUNTY OF SNOHOMISH)
Signature of Applicant, Owner, or
Representative
5
On this date, before me, the undersigned, a Notary Public in a=fora State l
of Washington, duly commissioned and sworn, personally appeared d ,
who, being duly sworn, on his/her oath deposes and says that (s)he Ifas prepared
and read the attached, statements and has acknowledged to me that the recititations
contained therein are true; and has signed this instrument as his/her free and i
voluntary act and deed for the purposes therein entioned.
Subscribed and sworn to before me this 2 -1 � day of
Nota Public in and for the State of Washington
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06