Madronna Application.pdfCity of Edmonds
Land Use Application
ARCHITECTURAL DESIGN REVIEW
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❑ FORMAL SUBDIVISION
❑ SHORT SUBDIVISION
❑ LOT LINE ADJUSTMENT
❑ PLANNED RESIDENTIAL DEVELOPMENT
❑ OFFICIAL STREET MAP AMENDMENT
❑ STREET VACATION
❑ REZONE
❑ SHORELINE PERMIT
❑ VARIANCE / REASONABLE USE EXCEPTION
❑ OTHER:
a PL EA SE NO TE THA TALLI;Nfi"J)Iti JA TION CONTAINED H7THIN THE A PAL I CA 770N IS A P UBLIC IWCORD CORD G'
PROPERTY ADDRESS OR LOCATION
6th Street S
9300 23 � .... .........
PROJECT NAME (IF APPLICABLE) Madrona K-8 School
PROPERTY OWNER Edmonds School District PHONE # 425.431.7172
ADDRESS 20420 68th Ave. W. Lynnwood, WA 98036-7400IT
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SEC. . 27 RNG. 3
TAx ACCOUNT # 2703360040460036 TWP
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DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY)
See attached cover letter
DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY
Conditional
se Permit #1:
ea
dondili nal Use Permit #2: y Gymnasium height above 25 feet. See attached cover
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APPLICANT
Edmonds School District (Tains Wilton) PHONE# 425.431.7172
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ADDRESS _20420 68th Ave. W, Lvnnwood ,WA 98036-7400
E-MAIL wiltont@edmonds.wednet.edu ..._ FAx# .... mm.e...__ ....._ ...�.
itects (Coale Ftos�n�! )r1IoNE#.206.441 4151.
CONTACT PERSON/AGENT Mahlum Arch.... , ..........
ADDRESS 71 Columbia Street, 4th Floor, Seattle, WA 98104
EMAIL CRosen@MAHLUM.com
FAX #
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
furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits Itc Mill submitted are true and correct to the best of my knowledge
and that I am authorized to file this application on the b the owner as listed below.
SIGNATURE OF APPLICANT/AGENT DATE 05.1 .2 -��"'""� __, ..-,._ -.. 6
Property Owner's Authorization
1, Taino wlllon certify under the penalty of perjury under the laws of the State of
Washington that the followin is a true and correct rect statement: 1 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 for the purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNEA.
Questions? Call (425) 771-0220.
DATE 05.11.2016
Revised on 8122/12 B - Land Use Application page ! oI