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DATE FEE: : • \; c /� 1 t S
CITY OF EDMONDS ��
APPLICATION FOR CONDITIONAL USE RECT
HOME OCCUPATION PERMIT APO'S:
FILE #:®-
?- HEARING DATE(IF REQUIRED):
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APPLICANT : tic ` ADDRESS: �� HONE:
Indicate type or degree of interest in the property; Y
OWNER: L\ ``�' \ �.� ADDRESS:
Use Zone T'1foi ^ 1.�� (To be completed by Planning Department)
VICINITY SKETCH: PLEASE SHOW BELOW A VICINITY SKETCH AS PER LE, INDICATING NI_---, E
1ST
Example: --
�t1 ,,;���„jv�' LOGAT4Qld ®FFdOU�aE. ....---
INDICATE�.0 TYPE OF BUSINESS AND DETAILS OF PROPOSED USAGE:
RELEASEIHOLD HARMLESS AUKLraL-1
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, 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 incomplete information furnished by
the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY 1
The undersigned applicant grants his, her or its permission for public officials and the
staff of the City of Edmonds to enter the subject property for the purpose of inspection
and posting attendant to this application.
Si "ature of Applicant, Owner
or Representative
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An'
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APPLICATION FOR HOME OCCUPATION OUESTIONNAIRE
Please anwer all
questions.
1.
Explain the
type work that
will be
conducted at the home.
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2.
What area of
the ome will
be used?
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3.
Will anyone
be employed at
the home
besides yourself? If
yes, please
explain who
and when employed?
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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, etc? If so, how many, when, etc?
sort of goods?
ses? Tfo, what
7. Do you understand the conditions which must be met in order to obtain'
and continue to use a home occupation permit?
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8. Can you identify any adverse impacts on your neighborhood which may
result from your operating the home occupation you propose? Please
explain.' �. C
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2/9/32MT
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CITY OF EDMONDS
RECEIPT
PLANNING DIVISION I �i
CIVIC CENTER N? 314$
EDMONDS, WASHINGTON 98020 (
I Date
Received of
FILE
ZONE - SUBDIVI;
SHORELINE
RECORDING FEE
S.E.P.A. REVIEW
MAPS BOOK
PHOTOSTATING
STATE SALES TAX
Date of Hearing
Time
_
BARS ACCT. NO.
001
000.000.341.82.00
001
_
000. 000. 341,89.00
001
000. 000.341.81.00
001
000. 000. 341.88.00
001
000. 000. 341.84.00
056'�
0-0
50
660. 341.86.00
001
001
000. 000. 389.94.00
TOTAL
BY -Qft
Dollars
CITY OF EDMONDS
CIVIC CENTER • EDMONDS, WASHINGTON 98020 • (206) 775.4525
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x COMMUNITY DEVELOPMENT DEPARTMENT
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DATE: April 6, 1982
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TO: Imal
502 6th Avenue South
Edmonds, WA 98020
TRANSMITTING: REQUEST FOR COMPLETE LIST OF
ADJACENT PROPERTY OWNERS WITHIN EIGHT FEET**
RE: CU-20-82
AS YOU REQUESTED:
FOR YOUR INFORMATION: xx
AS WE DISCUSSED:
FOR APPROVAL:
FOR YOUR FILE:
REVIEW AND COMMENT:
COMMENT AND RETURN:
MINUTES OF MEETING:
HARVE H. HARRISON
MAYOR
IMAL:
REMARKS: I have tried to contact you by phone but have been
unable. Before your application for a home occupation
permit can be processed, we need a complete list of
all property owners names and addresses within eighty
feet of all your lot lines. Please return this to us
in the enclosed envelope.
Thank you.
PLANNING DIVISION