ESD APPLICATION.pdfCity of Edmonds
Land Use Application
PLN20180014 - Design Review
PLN20180015 - CU for P zone
PLN20180016 - Height
PLN20170017 - Setbacks
N ARCHITECTURAL DESIGN REVIEW ¢LIJZ013001 FOR OFFICIAL USE ONLY
+g COMPREHENSIVE PLAN AMENDMENT
CONDITIONAL USE PERMIT PI_P W 1$ 4 0 IS' FILE # ZONE
❑ HOME OCCUPATION DATE O — b - i rQ REC'D BY IYt l✓
❑ FORMAL SUBDIVISION
❑ SHORT SUBDIVISION FEES N M • (90 RECEIPT #
❑ LOT LINE ADJUSTMENT HEARING DATE
❑ PLANNED RESIDENTIAL DEVELOPMENT
❑ OFFICIAL STREET MAP AMENDMENT ?�UE ❑ STAFF ❑ PB PDB KCC
❑ STREET VACATION
❑ REZONE
❑ SHORELINE PERMIT
g VARIANCE / REASONABLE USE EXCEPTION P_ IT zc i g c(q 16 — O c9 1 -7
❑ OTHER:
• PLEASE NOTE THAT ALL INFORMATION CONTAINED WITHIN THE APPLICATION IS A PUBLIC RECORD •
PROPERTY ADDRESS OR LOCATION 7600 212th St SW, Edmonds, WA 98026
PROJECT NAME (IF APPLICABLE) Edmonds-Woodway High School Fields
PROPERTY OWNER Edmonds School District, Attn: Nick Chou PHONE # 425-431-7161
ADDRESS 20420 68th Ave W. Lynnwood WA 98036
E-MAIL ChouN@edmonds.wednet.edu FAX# 425-431-7171
TAX ACCOUNT # 27043000104800 SEC. 30 TwP. 27 RNG. 04
DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY)
Please see attached narrative
DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY) --
Please see attached narrative.
APPLICANT Edmonds School District, Attn: Nick Chou PHONE# 425-431-7161
ADDRESS 20420 68th Ave W. Lynnwood WA 98036
E-MAIL ChouN@edmonds.wednet.edu FAX# 425-431-7171
CONTACT PERSON/AGENT Camie Anderson/Shockey Planning Group PHONE # 425-258-9308
ADDRESS 2716 Colby Avenue Everett WA 98201
E-MAIL canderson@shockeypianning.com FAX# 425-259-4888
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
famished 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 I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT DATE
frol crtt� ��•ncr's_j tttht`rizati0n
1, , / GIV,1(J/, VV , 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 ant my rmission for the public officials and the staff of the City of Edmonds to enter the
subject property for the purpo: s n and posting attendant to this application.
SIGNATURE OF OWNER _ DATE !/ O
Questions? Call (425) 771-0220.
Revised on 8122112 1 B - Land Use Application Page I of I