215 9TH AVE S.pdfAi
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EXHIBIT
DATE -7*
C ITY OF EDMONDS
FEE
HEARING EXAMINER
RECT
APPLICATION FOR VARIANCE
APO'S
HEARING DATE:
ANT
APPLIC ADDRESS
CITY & ZIP- PHONE
INDICATE TYPE OR DEGREE OF INTEREST IN PROPERTY
72
LOCATION OR ADDRESS OF PROPERTY
LEGAL DESCRIPTION OF PROPERTY
VARIAITCE REQUESTED: gO'E��2 t2 .4—,D 49 �S
M
FOR OFFICE USE ONLY: USE ZONE:
ZONING ORDINANCE REQUIREMENT:-
Release/Hold Harmless Agreement
The undersigned applicant, his heirs and assigns, in consideration 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, arisin g from any action
or inaction is based in whole or in part upon false, misleading or incomplete
information furnished by the applicanit, his agents or employees.
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 pr6perty
for the purpose of inspection and posting attendant to this application'.
Signature of Applicant, Owner or*
Representative
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DECLARATIONS' OF APPLICANT!
Please answer all questions
What, ar e the physical characteristics, (i.e. :to�6graphy, shape
of lot, ',etc.) which create a hardship for you in,,'regard; to
development of your property?
p
I �'j x.
'2.
h'
in,,t 6, same.
d" f f f o other. property.,..
How does your property� 1 er r, m
Vic-inity ?
3.
e a to the ublic..or damaging- t
Will thi's variance be detrim. nt', 1 p .Q
n-s i' the vici - ?
other property or improveme n n 3. ty'.
4.
What hardships will result to you if the variance
i s not granted?..
Will these hardships have been caused by your own
action?:
5.
Can you make reasonable use of your property without the varlantie?