Application.pdfCity of Edmonds
Land Use Application
ARCHITECTURAL DESIGN REVIEW
COMPREHENSIVE PLAN AMENDMENT
CONDITIONAL USE PERMIT
HOME OCCUPATION
FORMAL SUBDIVISION
SHORT SUBDIVISION
LOT LINE ADJUSTMENT
PLANNED RESIDENTIAL DEVELOPMENT
OFFICIAL STREET MAP AMENDMENT
STREET VACATION
REZONE
SHORELINE PERMIT
VARIANCE / REASONABLE USE EXCEPTION
OTHER:
RECEIVED
MAR 27 2917 4
RECD BY _
DATE ,,ww ,.
FEE �-
RECEIPT # .............�.�..m __.
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a PLEASE NOTE THATA LL INFORMATION CONTAINED WITHIN THE APPLICATION IS A PUBLIC RECORD a
PROPERTY ADDRESS OR LOCATION 21314 Highway 99, Edmonds WA 98020
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PROJECT NAME IF APPLICABLE ��_,......._�..........................................n......__.......................................................... ._.—
DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSAR)") Dem
olish and rebuild
DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSAR)"},^_
Larry Knapp
APPLICANT .,syn y-,
206-323-4114
PHONE #
2009 Minor Ave. East, Seattle 0
ADDRESS , WA 98102
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k@brhinc.com
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E-MAIL ,. --
FAX#
CONTACT PERSON/AGENT Larry Knapp
PHONE #
ADDRESS 2009 Minor Ave. East, Seattle, WA 98102
E-MAIL laYryk@brhinc.com
FAX #
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to
release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's
fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information
furnished by the applicant, his/her/its agents or employees
By my Signature, l Certify that rclrc innitan n atnon and exhnhuks hcrcwwktlu saabni kted are ti uc and correct to the hest of my hnowwlcdgc
p 1 h ted la loww.
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po, ,nissltaca for the public officials and the staff of the City of Edmonds to enter the
subject property for the pout p s n¢ a znaui posting attendant to this application
SIGNATURE OF OWNER
�� DATE
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