Holly Have Application & Plans.pdfCEIVED
City of Edmonds
JON 3 1014
Lard Use Application
DEyLOPMEry 'r s�:�r
;;. ARCHITECTURAL DESIGN REVIEW
❑ COMPREHENSIVE PLAN AMENDMENT
❑ HOME OCCUPATION DATE ry i.( "RECLONED B Y
11 CONDITIONAL USE PERMIT FILE #
� °�... �.
11 FORMAL SUBDIVISION
❑ SHORT SUBDIVISION FEL RECEII f #
❑ LOT LINE ADJUSTMENT HEARING DATE
❑ PLANNED RESIDENTIAL DEVELOPMENT
❑ OFFICIAL STREET MAP AMENDMENT ❑ HE `STAFF ❑ PB ❑ ADB ❑ CC
❑ STREET VACATION
❑ REZONE
I I SHORELINE PERMIT
OTHER: ONABLE USE EX E1TI °
L-1 VARIAN h/RE 'I
a PLEASE NOTE THAT ALL INEORAIATION CONIAINED WITHIN THE, APPLICATION IS A PUBLIC RECORD �
PROPERTY ADDRESS OR LOCATION r.Ii'/5
PROJECT NAME (IF AP,�P�L✓IC/A%BLE)✓_ /"+°°'r" /XV
PROPERTY OWNER 'l% I ff ✓ `I I 1p PHONE #
ADDRESS--&Z._a`V-z ,vim � Y� -1i
E-MAIL &4W FAX #
TAX ACCOUNT # SEC. '"""'Twp. RNG.
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NECESSARY)
x✓ �� f"'' r P � t3 ,f
O S (ATTACH COVbR� LEITER AS
aM? I ✓. I � �` r.. � ^"'a"�J ,�w,er * �° r� � a G,ad d'�� 9f��' �""I
DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY)
APPLICANT PHONE # _
ADDRESS
E-MAIL / FAX #
CONTACT PERSON/AGENT lee a'° � A PHONE# 2,1' ld/()
ADDRESSc r r /;.`a d l � 5V 5" 1 i� �G
E-MAIL/ t" b„ iIT . (` 1'9r"u u� �'a°9a }%r«,c.�. 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 hartnless 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
furnished by the applicant, his/her/its agents or employees.
. ny knowledge
By my signature I certify that the information and I 'brts herewith submitted are true and correct to the best of r
and that I am authorized to file this application o t e b Calf of t owner?tedrabelow.
SIGNATURE OF APPLICANT/ADEN I o t " DATE
Propert w er's AuYlaor" ti.?u �
I, ""' certify under the penalty of perjury under the laws of the State of
Washington that the follow g is a hue 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
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subject property for the proposes of,�s tiotf sand posting tend to this application.
SIGNATURE OF ON'VNER.� DATE
Questi rt , Call (42.5) 771-0220.
Revised on 8122112 8 - Land Use Application Pale I of I
25920 132nd St. S.E.
Monroe, WA 98272
www.SoundArbor.com
Contractor # SOUNDAL907LM
Jorgen Olson — Managing Member
ISA Certified Arborist # PN -6978A
Certified Tree Risk Assessor # 696
Cell # (2 0 6 ) 5 9 5 - 0 9 7 3
Proposal Submitted To:
Phone NumberC:� /
Bid Date: p (
Bid Time:
Address:
Job Phone:
Date of Plans:
Est. Job Arr(val
bLocation
Code:
i�Ml%'5 ► I�
Email Address:
Check Number:
PaidExpiration:
CCN: Type:
I
� a
i ne scope ana cost of the worK, subject to all terms and conditions as set torth both on the tront and back of this form are as follows:
e
ve r)A `moi t' v i 1 h (4
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Accepted: I have read and understand the terms and conditions listed on
the backside of this form (Initial ). I agree that those terms
and conditions are acceptable and that the above listed prices and work
specifications and conditions are satisfactory. Sound Arbor LLC is authorized
to do the work as specified and payment will be made upon completion of
service.
Signature:
Licensed a Bonded rt Insured
Subtotal:
Sales Tax:
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HOLLY HAVEN HOME OWNERS ASSOC RECEIVED
7815 218TH ST SW #110
EDMONDS WA 98026 JUN 0 3 2014
To Whom It May Concern: DEVELOPMENT'SERVICES
Holly Haven Home Owners Association held elections of officers 09- 26-10. There has
been a change officer. The new board information is as follows:
President Aaron Peake 206-234-5622
Vice President: Michelle Mather 425-773-7169
Secretary/Treasurer Peter LaZerte 206-919-4920
Board member at Large Delores Haugland 425-776-5856
Board member at Large Renee Downie 425-712-1459
Please send all Correspondence to:
Holly Haven Home Owners Association
Attn Peter LaZerte
7815 218" ST SW #106
Edmonds WA 98026
Alternate contact:
Holly Haven Home Owners Association
Attn Aaron Peake
781521 8TH ST SW #113
Edmonds Wa 98026
Thank you.
Nancy Moltzan out going Secretary Treasurer