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0309_001.pdf
City of Edmonds Land Use Application��« s,� ,..RAC- , 21Ni � X ARCHITECTURAL DESIGN REVIEW ❑ COMPREHENSIVE PLAN AMENDMENT ❑ CONDITIONAL USE PERMIT ❑ HOME OCCUPATION ❑ FORMAL SUBDIVISION ❑ SHORT SUBDIVISION ❑ LOT LINE ADJUSTMENT ❑ PLANNED RESIDENTIAL DEVELOPMENT ❑ OFFICIAL STREET MAP AMENDMENT ❑ STREET VACATION ❑ REZONE ❑ SHORELINE PERMIT ❑ VARIANCE / REASONABLE USE EXCEPTION ❑ OTHER: • PLEASE NOTE THAT ALL INFORM}A TION CONTAINED WITHIN THE APPLICA TION IS A PUBLIC RECORD • PROPERTY ADDRESS OR LOCATION f 0O JG2- M 0i7{W PROJECT NAME (IF APPLICABLE) PROPERTY OWNER Westgate Village LLC C/O Henbart PHONE # ADDRESS 4025 Delridge Way SW Ste 530, Seattle WA 98106 E-MAIL FAX # TAX ACCOUNT # 00610700200601, "702, "803, "600 SEC. TWP DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NEC.ESSARi New 85 Unit Mixed Use Apartment Building with Retail/Commerical at ground level. I RNG. on site an DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY) see attached. APPLICANT Aidan Bird, Studio Meng Strazzara PHONE 2aio 5�i S7 T) ADDRESS oa 71 � v© '1%17-1 CONTACT PERSON/AGENT ., Aygg 4 e'.. PHONE # ADDRESS FAX # The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and h its her w th submitted are true and correct to the best of my knowledge and that I am authorized to file this application oic Thai t,t#t ey�w ner s listed below. l SIGNATURE OF APPLICANT/AGENT +' o -m �/ DATE I i I 'Z.<) I I rwater's Aut a " tton II-Vilngtothat the foikoM�+in� hs a trnnd correct state, certify under the penalty of perjury under the laws of the State of W mentaI have authorized the above Applicant/Agent to apply for the subject land use application, and grant my perrnission for the public officials and the staff of the City of Edmonds to enter the subject property for the pyrposes okinspection A011077Mh attendant to this application. SIGNATURE OF OWNER A DATE 2 / , �c'ah110 Gall (425) 771-0220, Revised on 8122112 B - Land Use Application Page 1 of]