Application+Materials.pdfCity of Edmonds
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Land Use Application
❑ ARCHITECTURAL DESIGN REVIEW
❑ COMPREHENSIVE PLAN AMENDMENT
❑ CONDITIONAL USE PERMIT
n HOME OCCUPATION
FORMAL SUBDIVISION
❑ SHORT SUBDIVISION
❑ LOT LINE ADJUSTMENT
❑ PLANNED RESIDENTIAL DEVELOPMENT
El OFFICIAL STREET MAP AMENDMENT
❑ STREET VACATION
❑ REZONE
❑ SHORELINEPERMIT
VARIANCE / REASONABLE, USE EXCEPTION'
OTHER: )
PLEASE NOTE THA TALL INFORAMTIONCONTAINED07THINTHE APPLICATIONISAPVBLICRI~CURD&
PROPERTY ADDRESS OR LOCATION 3 1 91/2-b [)_ ° ' Y t ^l"" I/ � A
PROJECT NAME (IF APPLICABLE)
PROPERTY OWNER Edmonds Medical Pavilion PHONE# 425. 775. 4546
ADDRESS 7320 216th St SW #15, Edmonds, WA 98026
E_MAILigloeckner healthcarerealty.com FAX# 425.640.2580
TAX ACCOUNT # 1D1= Z-9Dk- - TWP_ RNG.
DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH CrpOVER LETTER AS NECESSARY)
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DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY)
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APPLICANT Ityr` 't C•iP tµ"1 a H L . PHONE#
ADDRESS E
E-MAILn� �! FAX# G
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CONTACT PERSON/AGENT
ADDRESS U/') � S � ".
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E-MAIL i R e" w " i �` . , „ FAx # % 7U — 7cr-7
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, hj&%"/its agents or employees.
By my signature, I certify that the indfortnat, 1 exhibits herewith submitted are true and correct to the best of my knowledge
and that I am authorized to file this applicatn the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT DATE 7 ' i —I Q)
Property Owner's Authorization V
1 Jennifer Clo,eckner certify under the penalty of pedury under the laws of the State of
Washington flint the following is a true and con"I sta iuri*M: I have authorized the above Appli aft to apply for the
subject land use application, and grant tray 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 _, Jennlrer Gloeckner DATE 7/11/2016
Questions? Call (425) 771.0220.
Revised on x'22112 B - Lmul Use Appllcnrion Page 1 of I
July 11, 2016
City of Edmonds
Land Use Application
RE:
Edmonds Medical Pavilion
7320 2161h Street SW
Edmonds WA 98026
(10) existing birch trees (Betula Papyrifera) along the south side of the building, bordering the parking area
are diseased and have become compromised. The trees are infected with Bronze Birch Borer Beatles. The
trees have stained bark and emergence holes that indicate this infestation. All (10) or the trees are
compromised and in poor health.
Camden Gardens would like to remove these trees and replant within 18 months with 1 1/2' caliper or larger,
other deciduous trees such as Dogwood (Cornus k. Stellar Pink or similar). The process should be very
simple with the removal of the existing trees, stump grind the stumps to below ground level and top dress
with mulch for the remainder of the 2016 season. Replanting will occur early spring 2017.
Thank you for your time,
Arique Jacques
""TW jam'
Camden Gardens, Inc.
6535 511, Place S, Suite B
Seattle WA 98108
p 206-767-0811 m 206-331-5590
arique@camdengardens.net
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July 11, 2016
Jen Mikolajczyk
Healthcare Realty
re: Edmonds Medical Pavilion
7320 2161h Street SW, Suite 15
Edmonds WA 98026
425-775-4564
jmikolajczyk@healthcarerealty.com
Thank you for the opportunity to offer Camden Gardens services in removing the diseased birch trees
boarding the parking area on the south side of Edmonds Medical Pavilion. Please see below for the scope of
work and recommended materials.
Edmonds Medical Pavilion
7320 216th Street SW
Edmonds WA 98026
BIRCH TREE REMOVAL, STUMP GRINDING & MULCH INSTALL
Scope of Work:
• Permit the job with the City of Edmonds
• Provide scale drawings of the property
• Demo the (10) existing birch trees, cut to ground level
• Bring limbs and trunk material to land fill
• Stump grind the (10) stumps to below ground level
• Remove ground stump debit and bring to land fill
• Install mulch as top dressing for a clean finish
• Remove all debit and blow the area clean
The City of Edmonds will require these trees to be replanted within 18 months of removal
Mobilization, labor, materials, delivers,/, disposal & installation
Total for birch tree removal
Thank you for your consideration.
I look forward to working with you again!
Arique Jacques
Qiucju.e �accj,u,ea.
Camden Gardens Inc.
$ 4,145.00, plus tax Initial for purchase
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Edmonds Medical Pavilion 7320 216th Street SW, Edmonds WA 98026