20100311094644174.pdfCITY CLE
K
RS
C175OF v0MO ID 200501110613 1
5TH AVENUE NO.
PG
121
EMONDS, WA 98020 01-11-2005 01:20pm $19.00
SNOHOMISH COUNTY.
WASHINGTON
ITY CLERK
12,.. :t:H AVqNUB. NO.
STATEMENT ON ACCESSORY DWELLING UNITS
Property Addres- -. 94111, _P/14c'e, Jma
moriq.s,---W*ington
Assessor's Parcel Number:
I have read the requirements for accessory -dwelling units contained in Chapter 20.21 of
the Edmonds Community DevelopmeatCode --iud *
budirstand that an Accessory
Dwelling Unit, Including a second k1tcbeo9':4.prohIb1te'-d until after an Accessory
Dwelling Unit permit has been approvill.by the tl�.-of.Edmonds.
I also understand that approval of an Accesso6 permit Is subject to
compliance with Identified criteria, to public commeiAo_u�lther this statement nor
the Issuance of a building permit shall act to 11 6-0 the City In the review
of any application for an Accp" welling Unit o n4mit.
. r
Property Owner Signature:.
Dater
...RECEIVED
1 4 200
STATE OF WASHINGTON)
..L:AoNDS'01-7y CLERK
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and voluntary act fbr tfi&-66s and...
purposes mentioned in this instrument.
Notary'— re is PO st be smudged. Dated:
�
y P 464�
Signature of
'n 0 07 -*.'-n i Notary Public:
>
,it ip ZT Gr S�0.--- >i, Residing at: (/Xz,
My Appointment
Expires: