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0612010 11:51am $62 00 PG
rin�,vo�d Lv�- SNOHOPIISH COUNTY, WASHINGTON
STATFMENT ON ACCESSORY DWELLING UNITS
Property A.dd`res$e" YOU$ ViEuyLAtvD WAy —
::Edmonds, Washington
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Assessor's Parcel Number: '4`Yq - 000
1 have read the requirements,for acepssoy-y•dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code (FCDC) and understand that an accessory
dwelling unit as defined in ECD6ectioti-21.05.015 is•Prohibited until an Accessory
Dwelling Unit Permit is approved.
I also understand that an Accessory Dwelling. -Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and atCthe uecessary hems are submitted, including
an affidavit of occupancy and a covenant to bp, iled With the Snohomish County regarding
the regulations imposed on Accessory D�ktellin•g..Uriits.
Property Owner Signature: nPA
Property Owner Name (printed): 1�1 C?.lUr T� 14r�
Date: Rjlo
CHICAGO TITLE IN;aORrrC�"; P07PANY HAS PLACED
STATE OF WASHINGTON) T%OOC1MENTOfAEC0Rd-AsfCWTOMEA
COWI1ESYAND'ACd?1S•N0 LIABILITY'POR THE
ACCURACY OR -VALIDITY OF THE.OI}CUiV %T.
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and vol untar ..•agfior th uses
and purposes mentioned in this instrument.
Notary's pressure seals must be smudged. Dated: E -5-1,C)
Signature of
J" A. STATUS Notary Public�
• ......
WITAW Residing at: t�tr 4
......
MY COWSSIONEXPNKS My Appointment
09-30.13 Expires: 13
THIS DOCUMENT MUST BE RECORDED WITH SNOHOMISH COUNTY AUDITOR....."