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CITY OF EDMONDS
APPLICATION FOR CONDITIONAL USE
HOME OCCUPATION PERMIT
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FEE:
RECT
APO'S:
FILE #:—iV
HEARING DATE (IF REQUIRED):
APPLICANT:--,—)
ADDRESS: I I 1A
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PHONE: 7q,��-57qq
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Indicate type
OWNER:
or degree of
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interest in the property:
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—PHONE:-114 3 -!57q
Use Zone
(To be completed by Planning
Division)
INDICATE TYPE OF BUSINESS AND DETAILS OF PROPOSED USAGE:
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RELEASE/HOLD HARMLESS AGREEMENT
The undersigned applicant, his heirs and assigns, in conside I ration for the City
processing the application agrees to release, indemnify, defend and hold the City of
Edmonds harmless from any and all damages and/or claims for damages, including
reasonable attorneys' fees, arising from any action or inaction of the City whenever
such action or inaction is based in whole or in part upon false, misleading or
incomplet.e information furnished by the applicant, his agents or employe' . es.
PERMISSION TO ENTER SUBJECT PROPERTY
The undersigned applicant grants his, her or its permission for public officials and
the staff of the City of Edmonds to enter the subject proprety for the purpose of
inspection and posting attendant to this application.
Sign Ire of Applicant, Owner or Representative
APPLICATION FOR HOME OCCUPATION QUESTIONNAIRE
Please answer all questions.
1. Explain the type of work that will be conducted at the home.
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2. What area of the home will be used?
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3. Will anyone be employed at the home besides yourself? If yes, please exp ain
who and when employed.
4. What type of equipment will be used in conjunction with the home occupation?
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5. Will there be any visits to the home by clients, employees, delivery service,
I I etc? If so, how many, when, etc.?
6. Will you be selling or renting any goods on the premises? If so, what sort of
goods?
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7. Doyou understand the conditions which must be met in order to obtain and
continue to use a home occupation permit?
8. Can you identify any adverse impacts on your neighborhood which may result from
your operating the home occupation you propose? Please explain.