02180CITY OF EDMONDS FILE # V
BOARD OF ADJUSTMENT DATE C, 'a.7
APPLICATION FOR VARIANCE FEE 2,,
REC' T # ,� 2
HEARING DATE: J O-- / '-?$
APPLICANT P,.,rf /#gADDRESS %3 (o �Av CITY &ZIP
PHONE 77f-,rybv Indicate type or degree of interest in' the property:e
OWNER: mo /,/ Qg& yr;:: ADDRESS,CITY & ZIP 1p.76 PHONE 77
LOCATION OF PROPERTY(ADDRESS)
r LEGAL DESCRIPTION OF PROPERY: 34t v— -7 ofy asCi % v74 96 -- 00
USE ZONE kS - (0
BY PLANNING DIVISION
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ZONING ORDINANCE REQUIREMENT:
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VARIANCE REQUESTED: 0_
c''r�- 07 %Ity
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STATEMENT OF CONDITIONS AND REASONS FOR REQUEST, IN ACCORDANCE WITH STANDARDS AND .CRITERIA
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ATTACHED:'®Q
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STATE OF WASHINGTON)
COUNTY OF SNOHOMISH
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gnat �f ppl i cant, 0 ner or Representative
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On this date, before me,.
the undersigned, a Notary Public in and for the. State of
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Washington, duly commissioned
and sworn, personally appeared ,who, being
duly sworn, on his/her oath deposes
and says that (s)he has prepared and read the foregoing 4
statements and has acknowledged
to me that the recitations contained therein.are true, and has
signed this instrument as his/her
free and voluntary•act and deed for the purposes therein
mentioned.
Subscribed and sworn to
before me this Z 19 —*
residing at
a y Pub Mc en;7 the State of Washington.
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