2ND & JAMES ST EDMONDS 130 - 2ND AVE SO EDMONDS.pdfCITY OF EDMONDS
PLANNING DEPARDENT
CIVIC CENTER ANNEX, EDMONDS, WASHINGTON 980,
APPLICATION FOR APPROVAL BY A MEN ITIES DESIGN BOARD
I, (We) the undersigned, hereby make application to the City of Edmonds for Amenities
Design Board approval (or modification of a previous approval) of the accompanying plans
for I (nature of use): ROA 46wiw'-, which plans are Tt-tached hereto and maTe-
a part hereof. The following are pertinent facts with respect to the proposed developme
1. Nami and address of applicant(s): Sot?
-1) 14' F . I . . , = r At Act�,j P, rO, c.&1A11-- PHONE: -7-7
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2. Applicant's interest in property: owner (&I agent for owner architect
leasee other
3. Name and address of owner(s) A13ovo PHONE:
4. Location of property: Street Nmber: �2�� -JAM69 F-[') Ad CAI L) C
or Common Address:- 130 A-V6;. f,0.
iD Al 0 A) 5
5. This property is presently zoned:
6. Use for which approval is requested is specifically described as follows:
7. Existing use of property:
8. If approved, work on project will begin about: &kJ& M6A17:W
9. Estimated time for completion of work: 1we) Adoty-,ws
10. Attachments Number
1 (We) hereby certify to the best of my (our) knowledge, that the statements and informati,
contained herein are in all respects true and correct.