Govier App.pdfCity of Edmonds
Land Use Application
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ARCHITECTURAL DESIGN REVIEW 0 0 0
❑ COMPREHENSIVE PLAN AMENDMENT r /Y
❑ HOME OCCUPATION USE ON PERMIT FILE#DATE ()�Y" W /t' �t - 4ONE
RC'D BY
❑ FORMAL SUBDIVISION >----
)< SHORT SUBDIVISION FEE / .� c„d RECEIPT #
❑ LO'I' LINE ADJUSTMENT HEARING DATE
❑ PLANNED RESIDENTIAL DEVELOPMENT ..
F1_ OFFICIAL STREET MAP AMENDMENT [ I HE STAFF ❑ PB I 1 ADB I 1 CC
I I STREET VACATION
❑ REZONE
- u immomi w
❑ SHORELINE PERMIT
I I VARIANCE / REASONABLE USE EXCEPTION
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®P/,EASE NO'I'C THAT ALL INTO/LtIATION CO CONTA/NI D WITHIN THE APPLICATIONIS A P"14W(E
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PROPERTY ADDRESS OR LOCATION � w � 4 'd
PROJECT NAME. (IF APPLICABLE) 6"A c ��� � � �'"k� ��4-
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P120P> RTY OWNERr c" ,l,r. ry f�., fK,. PHONE # P
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ADDRESS a
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TAX ACCOUNT # b q .i p"� i�°�r,^ t,.,� �� y . tl,❑�, SEC. " w TWp ). ,.. RNG.
DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY)
DESCRIBE HOW THE PROJECT MEETSp APPLICABLE CODES (ATTACH COVER LE'T'TER AS NECESSARY)
APPLICANT e PHONE #
ADDRESS
E-MAIL FAX #
CONTAC'rPEIZSON/AGrNT m we'❑. '2.`:` �.� � V,,, d r "�to'0 PHONE t �, s��s� ,) t I:M
ADDRESS � � I2 7H, V'�¢ e � � �t N � �a Q
E-MAIL FAX #
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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 fi-om 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, his/her/its agents or employees.
By my signature, I certify that the informgtioriand exhibits Iv rewith submitted are true and correct to the best of my knowledge
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and that I am authorized to file this ap 11cation on th( behalf owneras listed below.
of the
SIGNATURE OF APPLICANT/AGEN�o
DATE t,❑ t „�;( m,. 9,,
Property Owner's Authorization
I, e °,° ' h ?t , 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 grant my permission for the public officials and the staff of the City of Edmonds to enter the
subject property or the lnuposeE inspection anostmg attendant to this application.
— d
SIGNATURE OF OWNER DATE
Questions? Call (425) 771-0220.
Revised on 3/22/12 B- Land UseAPPlicalion Page I ofI
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A coordinated utility envirornrrent which maximizes joint utility opportunities to provide quality service,for the citizens of Edmonds
YOU WILL BE GIVEN A CONFIRMATION NUMBER BY EACHUTILITY ONCE
YOU HAVE INFORMEDPROJECT.
SITE ADDRESS
dMWAMMEMOMM
ff'OUKB
# o(') 1,/- 61, 0/
Mary McAllister - 425-670-3216
You will need to provide PUD with a site plan and a completed New Service
Questionnaire.
f%1/M11�l �(JQ
A i%/ SOU N1.1
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New Customer Construction
Call to verify gas availability and to coordinate service install. You will need to
Department - 1-888.321-7779
provide parcel number, contact phone number and mailing address.
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fip
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�,Pn�lccarnc! ;�i ltitk hleava 9rrrrrrre:r
You will need to provide Frontier with the location of your'project, total line
Jeremy Fallt - 425-263-4024
requirement, and the date in which service is required. A copy of your
You will need to provide Comcast with the location of your project, a copy of
Mike Fontenot 425,203-1-482—a.;1718
your development and site plan (digital copy if available.) The date in which
Ce -1 I Z 0 -AM
service is required and a list of contact names, phone numbers & mailing
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Steve Dunphy - 425-74-7769 ext. 110
You will need to provide OVWSD with the survey rna 'Wj%Url,�ite and
For customers in Olympic View Service Area
complete a development information form.
THIS FORM MUST BE COMPLETED AND GIVEN TO DEVELOPMENT
OPMENT
SERVICES STA F NI' "I"IIE TIME OF PERMIT SUBMITTAL laev. 10/1/13
Issued By:
CHICAGO TITLE INSURANCE COMPANYUpdate 2
Guamnbee/CmdifioateNumbec
500005305
CHICAGO TITLE INSURANCE COMPANY
a corporation, herein called the Company
Western Engineers
herein called the Auaunad, against uutuoJ loss not exceeding the liability amount ababad in Schedule which the Assured
shall sustain by reason of any incorrectness in the assurances set forth in Schedule A.
1. No guarantee is given nor liability assumed with respect to the identity of any party named or referred to in Schedule A
or with respect to the validity, legal effect or priority of any matter shown therein.
2. The Company's liability hereunder shall be limited to the amount of actual loss sustained bythe Assured because of
na|ianma upon the assurance herein set forth, but in no event shall the Company's liability exceed the liability amount
set forth inSchedule A.
Please note carefully the liability exclusions and limitations and the specific assurances afforded by this guarantee. If you
wish additional liability, or assurances other than as contained hanein, please contact the Company for further information
as to the availability and cost.
Chicago Title Company ofWashington
2002 Colby Ava,Suite 2OU
Everett, WA 98201
COUntersigned By:
Authorized Officer or Agent
Chicago Title Insurance Company
President
Secretary
�����EIVED
0(,','1� ��
~~^ - O ~ �"�Nn
umanteo/Cunfiume Printed: mo6.14@03:19pm
Title Officer: Builder Unit
Chicago Title Company of Washington
3002 Colby Ave., Suite 200
Everett, WA 98201
Main Phone: (425)259-8223
Email: evebuilder@ctt.com
Liability
Premium
Tax
$1,000.00
$250.00
$23.00
Effective Date: September 29, 2014 at 08:00AM
The assurances referred to on the face page are:
That, according to those public records which, under the recording laws, impart constructive notice of matter relative to
the following described property:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
Title to said real property is vested in:
Earl A. Govier and Opal J. Govier, husband and wife
subject to the matters shown below under Exceptions, which Exceptions are not necessarily shown in the order of their
priority.
Subdivision Guarantee/Certificate Printed: 10.06.14 @ 03:19PM
Page 2 WA-CT-FNRV-02150.624691-SPS-1-14-500005305
EXHIBIT "A"
Legal Description
Parcel A:
Lot 7, Block 4, Lake Ballinger Land Co's Plat Subdivision No. 1, according to the Plat thereof recorded in Volume 9 of
Plats, pages 57 and 58, records of Snohomish County, Washington;
Except the North 90.18 feet thereof as measured along the East line; and
Also Except the West 110 feet thereof.
Parcel B:
The North 45 feet of the North half of Lot 8, Block 4, Lake Ballinger Land Co's Plat, Subdivision No. 1, according to the
Plat thereof recorded in Volume 9 of Plats, pages 57 and 58, records of Snohomish County, Washington;
Except the West 90 feet as measured along the North line thereof.
Situate in the County of Snohomish, State of Washington.
Subdivision Guarantee/Certificate Printed: 10.06.14 @ 03:19PM
Page 3 WA-CT-FNRV-02150.624691-SPS-1-14-500005305
et • k i _-. , o 11112M
GENERAL EXCEPTIONS
A. Rights or claims of parties in possession, or claiming possession, not shown by the Public Records.
B. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be
disclosed by an accurate and complete land survey of the Land.
C. Easements, prescriptive rights, rights-of-way, liens or encumbrances, or claims thereof, not shown by the
Public Records.
D. Any lien, or right to a lien, for contributions to employee benefit funds, or for state workers' compensation, or
for services, labor, or material heretofore or hereafter furnished, all as imposed by law, and not shown by the
Public Records.
E. Taxes or special assessments which are not yet payable or which are not shown as existing liens by the Public
Records.
F. Any lien for service, installation, connection, maintenance, tap, capacity, or construction or similar charges for
sewer, water, electricity, natural gas or other utilities, or for garbage collection and disposal not shown by the
Public Records.
G. Unpatented mining claims, and all rights relating thereto.
H. Reservations and exceptions in United States Patents or in Acts authorizing the issuance thereof.
I. Indian tribal codes or regulations, Indian treaty or aboriginal rights, including easements or equitable servitudes.
J. Water rights, claims or title to water.
K. Defects, liens, encumbrances, adverse claims or other matters, if any, created, first appearing in the Public
Records, or attaching subsequent to the effective date hereof but prior to the date the proposed Insured acquires
of record for value the estate or interest or mortgage thereon covered by this Commitment.
Subdivision Guarantee/Certificate Printed: 10.06.14 @ 03:19PM
Page 4 WA-CT-FNRV-02150.624691-SPS-1-14-500005305
GUARANTEE/CERTIFICATE ! 500005306
CHICAGO TITLE INSURANCE COMPANY UPDATE2
SCHEDULE
(continued)
SPECIAL EXCEPTIONS
Covenants, conditions, restrictions, recitals, reservations, easements, easement provisions, dedications, building
setback lines, notes and statements, if any, but omitting any covenants or restrictions, if any, including but not
limited to those based upon race, color, religion, sex, sexual orientation, familial status, marital status, disability,
handicap, national origin, ancestry, or source of income, as set forth in applicable state or federal laws, except to
the extent that said covenant or restriction is permitted by applicable law, as set forth on plat of Lake Ballinger
Land Co's. Plat Subdivision No. 1:
Recording No: 210221 and in Volume 9 of Plats, pages 57-58
2. No search has been made as to property taxes and assessments. Property taxes and assessments will be
searched upon request.
Subdivision Guarantee/Certificate Printed: 10.06.14 @ 03:19PM
Page 5 WA-CT-FNRV-02150.624691-SPS-1-14-500005305
I
2- 3
FORM 1.01
1957
--------------------
lar owl In oxWderrolon of ONE DOLLAR and othoy valuable cOnSideflittlOn -------------------
This d a od in1n fulfillment. of that certain real @state contract between the parties her,
dated NW0= 10 1 195 7 , and nonditionad for the conveyance of the ab
described property.and the covenants of warranty herein contained shall not ftPPIY to any tl
interest or encumbrance arlsins by, throuall or under the purchaser In said contract, and shall
apply to any tacos, assessments of Miller charges levied, assessed or becoming, due subseq,
to the date of said contract.
tywA r,
SebJect to all easements, restrictions and reservations of record. It dny.
Dated this lay (A jawary, 1959. "'AW
STAIT OF WASHINGTON,
%5.
C-Quaty of KbS
QA INA day pemrally avqftred before ono ALBERT 0. CAMS --------------------------
to we known to be the individual described in and who executed dle within and foqvving in3trulnewt,
wAnowledged that he siped the same as him Nee &PA v"tuy act and dftd, for
eln mexiftied,
y 0 19
RAI this PA 5"094
nd and oWal
Or
War"$I." "awy V (ac he dad f 0 Mate a/ akinglie
875 ma:
"Hi 9
C)
A1 SALES
REAL E TAX
ST'E
W
AMOUNT PAID— —" Ca
A
2- 3
FORM 1.01
1957
--------------------
lar owl In oxWderrolon of ONE DOLLAR and othoy valuable cOnSideflittlOn -------------------
This d a od in1n fulfillment. of that certain real @state contract between the parties her,
dated NW0= 10 1 195 7 , and nonditionad for the conveyance of the ab
described property.and the covenants of warranty herein contained shall not ftPPIY to any tl
interest or encumbrance arlsins by, throuall or under the purchaser In said contract, and shall
apply to any tacos, assessments of Miller charges levied, assessed or becoming, due subseq,
to the date of said contract.
tywA r,
SebJect to all easements, restrictions and reservations of record. It dny.
Dated this lay (A jawary, 1959. "'AW
STAIT OF WASHINGTON,
%5.
C-Quaty of KbS
QA INA day pemrally avqftred before ono ALBERT 0. CAMS --------------------------
to we known to be the individual described in and who executed dle within and foqvving in3trulnewt,
wAnowledged that he siped the same as him Nee &PA v"tuy act and dftd, for
eln mexiftied,
y 0 19
RAI this PA 5"094
nd and oWal
Or
War"$I." "awy V (ac he dad f 0 Mate a/ akinglie
875 ma:
QUIT -CLAIM DEED
D (Stalutory Form)
THE GRANTOR( ILacy-4. Govier Wida'
2"402 75th 'lest City of Edmonds _
County of
Snohomish
`-
Washington, for and in consideration of Love
and Affention _Picxn thaw- ,t�SOn & paughrar Tn taw
Earl A. and Coal J. Govier, husband and wife
convey_ and quit-r.laim_ to ��•
Of ?3325 7 5t h rra-gt—
T nds CSnohomish State of ''aashinoton
in the City of .� County of
all interest in the following described heal Estate:
The North Forty-five (45) foot of the North t of Lot A. Block 4, Lake Ballinner
Land Co.'s Plat, subdivision No. 1, as oer plat recorded in Volume 4 of Plats on
paQos 57 and 58, records of Snohomish Countyi exceptthe 'gest 9F feet rasJme.asured
.Ion the orlh in.. t e,�}o,•o!'; oth�„Ase 4n,.,..,
a•_ .. •, �_
Reserving to the Grantor a Life
Estate in and to said or000r
_ 7 as lone as she is living.
LLJr
C_ ' _� NO SALES NO SALES T
AX
REQUIRED
C= RMUFR <�o7l>
S� APR 1519BJ
W MAY 11 1983
Snohomish State of Washington.
situated in the County of _ _.. ...
fl
Dated this. i:' —dny of �Pril ly 3
� cu
LLLI ' ` GranlorwCL
T—
STATE OF WASIilNGT N.
., ss. (Individual Acknotivledgment)
County of•pi�jlI51VL
Notary Public in and for the State of Washington,
do hereby certif, that on th'. of 19 personally
appeared before me A' t`
to me known to be the individual_ c scribed in and who executed the within str(��enl and
acknowledged that _ signe the same as b t free ad
,. ,r
and deed for the uses and purposes herein mentioned. o,, 9
i �� !
GIVEN UNDGIti<dYHAND AND OFFICIAL SEAL this a y of 7
Notary Public, in and for the State of Washington, residing at nsts;�'n'iid.olyrily•
Qulc.Cl.im D -d IS181u oiy or 4
Kae hmelnn La•ri sl k Cn . Hellr•cur, 1tiA Perm N,, 289 9.7E1
\IA'IEHIA(. MAY NOT Hh FF;PROMICF.o IN WHOLE OF IN PAF "I' IN ANY FORM tYHA'I SUF;VF;F.
QUITCLAIM DEED
�• 1Statutury Form) -
'I'HE C;RAN'VOK) I LscY a, ovier� Widow
2' 4n2 ?5th Nest . City of Edmonds
of Love
Snoholish %Vasilington, for and in consideration of
Count} of
_---- ----- --- — -
_ and f g.CtiIITi-�n-r�'tt�-L�'-5411 ix in�vi `"'r_in-T -�w
Earl A. and Opal J. Govier, husband and :rife
ccnvey_ and quit -claim_ to _--
2`5325 75th awt---- --
- - - ._--.. --- °f Washineton
%monds Snohomish Slate of --'
in the Cit }' (it _--_-_-- _-- County o f __---
all inlerest in thr, following described Real Estate:
The North Forty-five (45) feet of tha North � of Lot R, 91ock 4, 'Ake 9allinv-er
Land Co.'s Plat, subdivision No. 1, as ner plat recorded In Volume 9 of Plats on
paves 57 and 59, records of Snohomish Countyi except the 'lest 90 feet as measured
along tti- No-, line to-rPof; otherwise known as 2"4n? - 75 Id, Edmon-'s, WA
W
NO SALES TAX
RSQUMED
-x,_4
APR 151383
� ca
o 16
Do"
situated in the County of
Ir
Dared Ibis —_ LhIV of
Snohomish
Aoril
State of Washington.
19 83.
GrantorO
'A'I'E OF WASHINGTON,
S'I-
ss. (Individual Ackno,�ledgment)
Count v of
(�• c
,Notary Public in and for the State of Washington,
�}�.j� 1-1
do hereby certify that an till',�-- ay of �--' 19personally
appeared before nit
to me knov'.'n In be the. individual_ .scrihed in and who e executed the with
si ne the same asin 1W�
�4>1Gnt and
acknowledged that ° i..�— g ,
and deed for the uses and purposes herein mentioned. ;` ®tip,.+ 9 -F`
GIVEN UNDF;RMYHAND AND OFFICIAL SFALthis�_day,
19
4018`\0
Notary Public in end for the State of Washington, residing at 1` �Y11 S � id,�oc}nl.y:
4150272
QuibCiuim need ISICIuinr}' arm
lCa,bmu�nn Lr¢ai f11dnA Cn., ILd6^. u.• WA Fnrn: Au. 289 9.7N
\IA'P r.R1,\l. VAY NOIHE RF.PRON'CEn IN WHOLE OR IN PART IN ANY FORM WHATSOEVER.
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This map has been copied from the public records and is provided solely for the
purpose of assisting in locating
the premises. No liabilities are assumed for
inaccuracies contained herein
or for variations, if any, in dimensions, area or
location of the premises or the
location of improvements ascertained by actual
survey.
Page I of 1
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