Comment Form.pdfC[FY OF EDMONDS — I�ILXNNFNG DIVIS1014
COMMENTIPORM
0 PW -Engineering 13 Fire 1:1 PW - Maintenance 1:1 Parks & Rec. 1:1 Building
1:1 Economic Dev. 0 Parks Maintenance
Project Number: I1 N20140007
Applicant's Name: JOHN SI((')C1LJ-Q-1H1
Property Location: 7031 '1 fly &J'SW
Date of Application:_ 4a,„1Date Form Routed: -03.1
Zoning: SMGLE FAKV RII” &IIII E Iq "F I A L 6)
Project Description: 01"I'LINE ADJUS"I'MENT
"PER EC C 0: 1y` ALL C0MM]kNJS MUST BE SUBMITTM WITHIN 15 #AYS 0"MMM'
THIS FORM WAS ROUTED: DUEBY410112(,114
If you have any questions or need clarification on this project, please contact:
Responsible Staff J(,JE.,RN-I,,1-N III III EINI Ext. -,] 22..3
Name of Individual Submitting Comments:
Title:
0 1 have reviewed this land use proposal
for my department and have
concluded that IT WOULD NOT AFFECT
MY DEPARTMEN so I have no
comments. My department may also
review this project during the building
permit process (if applicable) and
reserves the right to provide additional
comments at that time.
El I have reviewed this land use proposal
for my department and have
concluded that IT WOULD AFFECT MY
DE so I have provided
comments or conditions below or
attached.
Comments (please attach memo if additional space is needed):
The following conditions should be attached to this permit to ensure compliance with the
requirements of this department (please attach memo if additional space is needed):
X011110
Signature:
Phone/E-ma