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 PERmrr
VARIANCE / REASONABLE USE EXCEPTION
OTHER:
• PLEASE NOTE THAT ALL INFORMATION CONTAINED WITHIN THE APPLICATION IS A PUBLIC RECORD •
PROPERTY ADDRESS OR LOCATION 720 13th Wa SW, Edrnonds WA 98020
PROJECT NAME (IF APPLICABLE) Jenkins Lane
PROPERTY OWNER Annette Kessler. PR-af Leo William LeFevre Estate PHONE # 425.670,3314
ADDRESS 22720 Brier Road Brien WA 98036
E-MAIL__ __ m Beach4me(&frontler.co__ ... FAX #
TAX ACCOUNT # 27032500314100 ww,_ww._ SEC. 25 TwP. 27 RNG, 03
DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSAR
DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY)
APPLICANT Echelbarger Investments, LLC _,..._ PHONE # 425.673.1100
ADDRESS, 4001 198ehSt. SW. #2 Lynnwood. WA 98036
E-MAIL _u Todd�Echelbarger.com FAX
CONTACT PERSON/AGENT Ken Mclnt e, SDA I aw ioaecain8 PHONE # 425.486.6533 ext. 104
ADDRESS 1724 Marine View Drive, Suite #140 Everett WA 9820(
E-MAIL Kmcintyre cf,sdaengineers.com FAX # 425.486.5693
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 infi-action 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, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge
and that 1 am authorized to fie this appiication on the behal" "" - "vtner as listed below.
SIGNATURE OF APPLICANTIAGENT _ DA"I'F, 6,20,2017
Property Owner's Authorization
1,Annette Kessler, PR of Leo William LeFevre Estate , certify under the penalty of perjury under the laws of the State of
Washington that the following is a true and correct statement: I have authorized the above Applicant/Agent to apply for the
subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the
subject property for the purposes of inspection and posting attendant to this application,
SIGNATURE OF OWNER 14 RhzX_ /� r ^'�"q.-� d1�7 ........ DATE ...... 6.20.2017
_._
�Q i kwns'J Call (425) 771-0220.
Revised on 8122112 B - Land Use Application rage t of 1