Comment Form.pdfCITY OF EDMONDS PLANN114G I HVIS101q
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PW -Engineering Fire 11 PW - Maintenance Parks & Rec. 11 Building
X Economic Dev. 0 Parks Maintenance
Project Number: PIIIN2014001
Applicant's Name: _BEATTHE,/ -1ANG
Property Location: _1_7304_73REI, AVE. W / 17,306 73RD AV1Wm
Date of Application: 04, 08.14 Date Form Routed: 04,0 9,,14
Zoning: SH4GLE FAMILY (RS 291
Project Description:_J-01JINE ADJUSTMENT
"PER ECDC 20.02.005 ALL COMMENTS MUST BE SUBMITTED WITHIN 15 DAYS OF THE DATE
THIS FORM WAS ROUTED: DUE B'YJ,`)f15J(,,Y' ZIA
If you have any questions or need clarification on this project, please contact:
Responsible Sfaff:_KERNEN UE N Exf._1 22_3
Name of Individual Submitting Comments:
Title:
1 have reviewed this land use proposal El I have reviewed this land use proposal
for my department and have for my department and have
concluded that IT WOULD NOT AFFECT concluded that IT WOULD AFFECT MY
MY DEPARTMENT, so i have no DEPARTMENT, so I have provided
comments. My department may also comments or conditions below or
review this project during the building attached.
permit process (if applicable) and
reserves the right to provide additional
comments at that time.
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):
Date:
Signature:
Phone/E-mail: