20161010170531.pdfApplication #:
PRE -APPLICATION/ DEVELOPMENT
VIE WMEETING QUEST FORM
City of Edmonds, 121 5"' Ave N / 425.771.0220
Scheduled Date: i O Time: 13'• �C./ ►�'
Meetings are held on Thursdays at 1:30 and 3:00 p.m. for approximately 45-60 minutes.
OPTION 1
❑ Pre -Application Mectin S1adE BACK PAGE
$655.00 (1/2 will be applied toward the future
permit submittal)
Submit 1 set of plans with required in err in ation per
handout B58 on page 2 OR email required
information and plans to:
devserv.adniinCiicdniondswa. ov
A meeting will be scheduled within 3 weeks.
Staff from the Building, Planning, Engineering and Fire
Departments attend the meeting, provide written
comments and answer questions regarding the proposed
project. This meeting is encouraged for major projects
prior to a formal application submittal to the City. The
goal is to identify MAJOR issues and discuss
processing procedures applicable to the project.
OPTION 2
Development :Review Lommitfee Meeting
Complementary, in ornial meeting
Submit or email 1 set of the following 1 week prior
to the scheduled meeting date:
Email: devserv.adliain(edniondsNva. ov�
1) Site Plan
2) "vicinity Map
3) Copies of this completed form
4) Pertinent background information
5) Floor plans if applicable
This is an informal opportunity to meet with staff and
discuss your preliminary ideas and concepts for a
project. The intent is to help identify the major code
requirements that will need to be addressed and any
significant site development issues that may relate to
the project. The intent is for this to occur prior to
considerable investment in plans and/or design work.
You may wish to have your design professional(s)
accompany you.
PLEASE COMPLETE ALL REQUESTED INFORMATION
Property Owner:
N �W'1 O LS'� N
Applic tl Contact
7- S cab M
g N�ess:
Mailing Address: r Ave 0
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ailing Address: �o
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State:
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Zip:
9' 80 zo
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State:
LO
Zip:
Phone,
� t O ` 9+3z Fax:
1+1 1 7
,{ Fax:
1'Irarne'�W)
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Email:
Vb 5 C! CcJ f i�
mail:
Zoning: D_ Lot Size: J I Sno County Tax Account Parcel #: C 01 O ( 60
Site Address:
Existing Use/Occupancy: It5,181 i— —
Pre -Submittal for:
❑ Building Permit Only ❑ Land Use Approval/ Permit
Description of Project: t+Ylr-1 02 I Wit$
1, 4410 l t-Li_A rW� ly �0D1, ) V- / A P,t ?-tj 1M1 L.ZvUL-U VIA,.) L4